The way we view ourselves in terms of how feminine or masculine certain features are varies between people, but fits into certain trends. Feminine is delicate, smaller, softer; masculine is broader, larger, more angular.
This applies as much to our noses as anywhere, but the way the face fits together to appear more or less feminine or masculine is important to our gender cues and sense of what is attractive and what is not. Balance is everything.
Rhinoplasty surgery is one of the most challenging procedures a cosmetic surgeon will perform, but one of the most elegant, with some of the most far-reaching aesthetic impacts. Feminising the face using primarily the nose is a procedure that can be used to achieve greater feminisation compared to using ‘golden ratio’ measurements alone. Gender cues are as important when we try to figure out why we think someone is attractive to us. Ratios are not everything.
Transgender women in particular who visit a cosmetic surgeon for feminising rhinoplasty procedures, whether that is nonsurgical or surgical, have a high degree of satisfaction according to a study. These rhinoplasty procedures may also includea broader feminisation of facial features, with the forehead and brow bones, and lips, possibly requiring delicate surgical adjustments.
Looking like yourself, but more feminine, is a complex task for a surgeon, who must be completely across how each of the gender profiles manifests itself in a face, but go a step further to help that person fit into thealternate version of themselves when they are literally switching genders – no mean feat. The psychological elements of this transition are incredible on their own, so adding complex facial surgery into the mix is quite the challenge for both patients and surgeons.
The angle of the nose may need to be adjusted in feminising rhinoplasty, sometimes significantly, to achieve the desired look.
Clinical experience – 200 male-to-female case studies to draw on
A set of case studies of over 200 transgender women receiving feminisation surgeries were examined for clues on how this facial transition is achieved, and how satisfied the patients were with their procedures. The study participants were between 18 and 70 years of age, and each was a male-to-female feminisation transition.
Rhinoplastyand how it fits into feminisation
There is an element of the nose called the frontonasal angle – that is, the angle that is created where your forehead/brow and nose join. What is considered to be ‘normal’ here is an angle between 115° and 135°, with men’s ‘ideal’ being 115° to 120°, and women’s being 115° to 130°. The smaller the number, the smaller the angle, with women’s ‘ideal’ being a wider angle – a smoother slope, if you like, from brow to nose tip. Men’s brows tend to curve over the eyes more than women’s, creating this smaller angle.
Most patients who underwent the feminising rhinoplastyin this particular studyconsidered their nose to be more feminine afterwards, with a high degree of satisfaction. The trend was to increase the angle of the frontonasal angle, to bring it more in line with the female ideal. The way a masculine nose is transformed into a feminine nose is to bring up the tip, sometimes making the whole nose smaller and thinner, and adjust the angles – the angle between the top lip and the bottom of the nose, and the frontonasal angle.
The effect of a feminising rhinoplasty can be remarkable, taking a face from a glaringly obviously male face, to a much more delicate version of itself.
We do nonsurgical rhinoplasty at our Melbourne office – try before you buy!
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