Feminizing Rhinoplasty

OVERVIEW

Feminizing rhinoplasty is one of the most common facial feminization surgeries (FFS) that includes various techniques to address feminine aesthetic reasons. The ultimate goal is to transform the masculine nose to a feminine appearance in the most natural-looking manner. 

DIFFERENCES BETWEEN MALE AND FEMALE NOSES

Male nose 

  • Bigger in all aspects
  • Straighter profile with a larger hump
  • Angle between the male forehead and nose is strongly pronounced.
  • Wider nostrils (Alar base)

Female nose

  • Smaller in all aspects.
  • Slightly concave profile
  • Continuity between the female forehead and root of the nose is smoother.
  • Slimmer nostrils (Alar base)

Hence, to make the male nose appear more feminine, it needs to be reshaped and refined to make the nose smaller and give it a perfect feminine outline and proportions. The nose bridge profile should be slightly concave and the nose tip should be proportionally small and upturned.

The continuity and angulation between the nose root and forehead are usually smooth-looking, resulting from harmony between the round forehead and the root of the nose. For those who have a masculine forehead from a male brow bossing, WIH FFS surgeons recommend having feminizing rhinoplasty with forehead contouring (brow ridge bone contouring) done in the same setting to achieve the best possible feminine outcome.

DETAILS OF FEMINIZING RHINOPLASTY TECHNIQUES

Our feminizing rhinoplasty procedures or techniques are personalizable to achieve a femininely balanced facial feature. Oftentimes they are performed using open rhinoplasty technique because of the reconstructive surgical approach involved. Depending on the patient’s individual needs and conditions, WIH surgeons may use any of the following techniques alone or in combination:

1.    Nasal Hump and/or Bridge Removal

For people who have a bump on the bridge (Nasal Hump), nasal hump removal can reduce the hump by reshaping the nasal bone and cartilage properly, making the nasal bridge smooth and defined. And the unwanted height of the nasal bone (Nasal bridge) will be removed by performing lateral osteotomy at the base of the nasal bone to achieve a slightly concave profile.

2.    Tip-plasty

Tip-plasty is required to reshape a masculine nose and some nose characteristics (including over-projected nose tip, drooping nose tip, boxy nose tip) to improve tip angle and projection. The tip graft from septal cartilage is used to rectify in order to transform male nasal tip characteristics into a naturally feminine tip.

3.    Alarplasty (Alar base reduction)

For people who have large and thick nostrils, alarplasty can be done in conjunction with other procedures to narrow the alar base and reduce the nostril width, so that the nostrils are in proportion to the overall nose.

The right technique of alarplasty is to reduce the nostril width appropriately, while still preserving the natural round shape of the nostrils.   

SURGICAL DETAILS OF REDUCTION RHINOPLASTY 

Type of Anesthesia:  General anesthesia to ensure patient’s safety.

Operation Time:        2 - 3 hours

Length of Stay:         2 days 1 night

FEMINIZING RHINOPLASTY AFTERCARE

  1. After surgery, a thermoplastic nasal splint will be placed to support and protect the shape of the nose for 7 days.
  2. Use a cold compress. In the first 72 hours after surgery, using a cold compress can help reduce swelling and bruising.
  3. You should rest with your head elevated in a recliner or with 2 pillows or more for at least 1 week after surgery.
  4. You will be instructed to clean the stitches with the provided mild-antiseptic solution.
  5. Pain is well-managed by taking medication prescribed by the doctor.
  6. The stitches will be removed within a week.
  7. Avoid strenuous activity and vigorous exercise for 2 months.