A 22 year-old lady troubled by a weak chin and bump on the nose underwent a combined chin augmentation and rhinoplasty to deliver a more balanced and feminine profile. An ultrasonic technique was used to sculpt the bone to achieve a more precise result with reduced bruising. The chin profile was improved with a silicone implant placed through a small incision under the chin. At two months, she was delighted with the overall change and improved self-confidence.