31 year old African American female who desired tip refinement. She also requested minor nasal bridge tapering. Dr. Slupchynskyj performed an African American Rhinoplasty technique through an Open Rhinoplasty approach. The nasal tip cartilages where enhanced using a cephalic strip technique, as well as a Strut Graft. The tip cartilages where also improved via a Shield Graft and defatting of the tip. Nasal dorsal width was reduced with bilateral osteotomies and a custom carved silicone implant, SLUPimplant™. The patient is 6 weeks post-op and is extremely happy with her results.