This 32-year-old African American woman from Columbus, Ohio came to the Columbus Institute of Plastic Surgery for a Rhinoplasty (nose job). She had been unhappy with the appearance of her nose for quite some time. She did not like the look of her nose as it appears from the side. To make this feature more pleasant, the board certified plastic surgeon, Dr. Bivik Shah, went in and adjusted the bridge of her nose by adding a piece of her rib (rib graft) while she was completely asleep under general anesthesia. As you can see in the after photos (about 2 years later) the issues that she had with her nose are corrected. She is very much pleased with her nose.