Notes from Dr. Siegel: This patient’s nose lacked definition, due to thick skin and weak cartilage, which is a challenge in many African American patients’ noses. She wanted a slimmer and more defined nose. Using cartilage, the bridge was raised to give a narrower appearance. Cartilage was also used to rebuild the tip for more contouring and definition. The width of the bones was made slimmer via the ultrasonic technique. Lastly, the nostrils were narrowed via an alar base reduction