An ultrasonic tip (16, 116) and surgical instrument (10, 110) with the ultrasonic tip (16, 116) for use on a patient includes a head portion (32, 132) adapted to be coupled to a shaft (12, 112) to be applied to a surgical site of a patient, the head portion (32, 132) extending axially along an axial axis (37, 137) to a distal end (38, 138), the distal end (38, 138) having a cutting edge with a positive rake angle relative to the axial axis (37, 137) for cutting tissue at the surgical site of the patient.