The size and shape of the nose, the pyramid, the tip and the alae in men are totally different from those in women, which becomes of utmost importance when performing surgical rhinoplasty, requiring a planning of the surgery adapted to the patient's sex and gender.
The nose of the male may present different genetical issues the patients might wish to modify, among which worth mentioning prominent dorsum, wide dorsum, wide nose, long nose, long septum, long tip, bulbous tip, bifid tip, rounded tip, square tip, poorly defined tip, droopy tip, etc.
Its treatment is based on the principles of structure rhinoplasty although upgraded and extended to a higher and larger level of complexity and technical options, with massive cartilage supply from nasal septum, ears concha and sometimes from rib cartilages, to restore a feminine shape and provide new gender oriented structures to the nasal skeleton.
This anatomical finesse is crucial in transgender patients who seek at the same time feminization and reshaping of the nose, although it is applicable to any other type of patients to avoid an effeminate result in men or insufficient in women.
Patients warning: only highly experienced surgeons who have underwent optimal training and have performed already a large number of closed and open approach structure and non structure rhinoplasties should execute high end gender reassignment rhinoplasty cases, should they feel capable and comfortable with the challenge.