This lovely young woman presented with concerns about her crooked nose and dorsal hump. The bridge was straightened and reduced to give a subtle slope, and the tip was lifted. Ultrasonic rhinoplasty with postoperative pictures taken about 12 months after the surgery show a dramatic improvement in symmetry and contour.. This unique type of rhinoplasty uses a device that utilizes high-speed sound waves to shape the bones of the nose to the desired shape.