Notes from Dr. Siegel: Middle Eastern patient with very thick skin was bothered by her “overall large nose.” She wanted a more feminine-looking bridge, a narrower and more defined nasal tip. She didn’t want to change the position of the tip, for fear of losing her ethnic appearance. The bones of the nose and hump were precisely molded via an ultrasonic rhinoplasty approach, resulting in minimal swelling, bruising, and pain.