In certain ethnic noses with a relative lack of dorsal projection, pat
ients often request a narrowed appearance on frontal view. There is li
ttle debate about the benefits of dorsal augmentation, but considerabl
e disagreement about concomitant osteotomies. In a series of six Afric
an-American and Asian rhinoplasties, the author has addressed the wide
-bridge appearance with dorsal augmentation alone, without osteotomies
. Gore-Tex or cartilage was used for the augmentation. All patients we
re satisfied with the apparent bridge narrowing on frontal view.