27 year old African-American / Ethnic female who underwent primary Rhinoplasty with another surgeon. Patient was disappointed in the results, due to the bulbous tip, Pollybeak Deformity, and low dorsum. Dr. Slupchynskyj performed an Open Rhinoplasty, raising the bridge with a custom carved SLUPimplant™ , defatting the tip, excising scar tissue, in addition to reconstruction with septal cartilage shield and strut grafts. Nostril narrowing was also completed via Dr. Slupchynskyj’s proprietary nostril narrowing technique. The patient also received large Malar Cheek Implants and is 4 months post-op.