Male to Female Nose Surgery

Dating back to third quarter 2007, a report in Archives of Facial Plastic Surgery (JAMA/Archives) announced the results of an observational study which determined that gay men in the role of women had achieved a more feminine nasal appearance following rhinoplasty. The research was conducted at Charing Cross Hospital, London, England led by S. A. Reza Noureai, M.B.B.Chair who viewed results of 12 patients who underwent rhinoplasty to achieve a more feminine appearance. The results of nose surgery were impressive, including:

  • Reducing the nostrils
  • Reducing the overall dimension of the nose
  • Altering nasal angles for a more feminine profile
  • Reconstructing the nasal valve

The before and after photos of the study participants were measured for changes in facial angles as well as the relation between the nose and other facial features to confirm a more feminine appearance. All patients had quantifiably achieved a more feminine appearance though nose surgery. All patients, but one were fully satisfied with the achievement of a more feminine appearance due to nose surgery. Many felt that the surgery added to an overall feminine appearance. All of these patients underwent gender reassignment surgery.

Nose surgery for the purpose of female reassignment may be more complex than traditional nose surgery. Part of this complexity relates to the requirement for a feminine appearance which may involve reconstruction of the nasal valve. Nose surgeons who have experience in reconstruction and preservation of functionality may be more likely to perform this type of nose surgery.

Transsexualism is a medical condition that affects one out of every 37,000 people who perceive that they are the opposite sex. Some physicians contend that nose surgery may provide enhanced self acceptance for people with this medical condition. It was noted in the study results that the level of satisfaction from nose surgery relates to the extent of personality abnormality. People who were depressed before nose surgery tended to be more satisfied with the results of nose surgery than people who were obsessive, hypochondriac or those displaying symptoms of body dysmorphic disorder. Body dysmorphic disorder is characterized by false impressions of bodily features that adversely affect mental condition. People with body dysmorphic disorder are not usually candidates for nose surgery or require clearance from a physiatrist for plastic surgery treatment.


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