42 year old Hispanic female unhappy with her bulbous tip, flared and wide nostrils, as well as a low, flat nasal bridge. Dr. Slupchynskyj performed an Open Rhinoplasty using his three-tiered approach to Ethnic Nose Surgery. His custom carved SLUPimplant™ was used to elevate and narrow the dorsum. The SLUPimplant™ also refines the nose to give it an elongated look and elevates the nasofrontal angle. Her nasal tip was defatted, while septal cartilage grafts were placed to reconstruct and further refine the tip. The alar base (nostril area) was reduced using Dr. SLupchynskyj's proprietary alar base vertical reduction technique. The patient is 6 weeks post-op and very pleased. Over the next 6 to 12 months her nose will continue to appear even more refined.