Notes from Dr. Siegel: This young female patient wanted an overall thinner nose, however she wanted to maintain her ethnic appearance. One of concerns was a low nasal bridge, which gave her a flat-nose appearance (when viewed from the front). She also wanted her tip to be refined, also in a natural way. I augmented the height of her bridge to give a thinner nasal appearance with cartilage. The tip was refined by both sculpting the tip and by narrowing the nostrils – also called alar base reduction.