Among those facial features that are decidedly gender-identifying, the nose is one of the most obvious. Men’s noses are generally larger, more prominent, and wider while women typically have noses that are smaller, narrower across the bridge, and more refined in shape and size. If you are seeking female-to-male (FTM) facial gender confirmation surgery, a rhinoplasty is typically included in the set of recommended procedures because it is intrinsically connected to the brow and forehead which is also typically altered during facial masculinization.
Within the context of facial masculinization or FTM gender confirmation surgery, a rhinoplasty essentially masculinizes the overall shape, size, and appearance of the nose for a natural-looking, and ideally, an undetectable result. The procedure increases the prominence of the nasal bridge, eliminates any asymmetries (such as an unwanted nasal bump), alters the dorsal profile, and also improves overall aesthetic appearance, and maybe even its function due to any congenital structural defects. The goal of masculinizing rhinoplasty is to modify the projection and profile of the nose, and the width of the nose as needed to make it more masculine-looking, while still maintaining harmony with other facial features so that you still look like “you” after the surgery.
Regardless of gender, rhinoplasty is one of the most challenging procedures a surgeon can undertake successfully. This is because rhinoplasty is always a very individualized surgery with unique challenges for each patient. No two noses are the same, just as no two faces are the same. The result must not only be natural looking within the context of your other masculinization procedures, but also in aesthetic harmony with other facial features. Dr. Deschamps-Braly possesses an in-depth understanding of the science and artistry of nasal masculinization. His excellent technical surgical skills and keen artistic eye allows him to visualize the final result – further ensuring that the newly augmented nose is in balance with other existing features such as cheekbones, lips, forehead, and brows.
Typically, FTM masculinizing rhinoplasty is performed under general anesthesia within the context of other facial masculinization procedures. Dr. Deschamps-Braly utilizes the patient’s own cartilage and/or bone grafts so that the desired augmentation is achieved. Depending on the patient’s needs, the location of incisions will vary and leave little to no visible scarring. Masculinizing rhinoplasty can be performed in one of two ways: a “closed” technique involves no external incisions, while an “open” technique requires a small incision under the tip of the nose above where it meets the upper lip. This incision heals well and when done correctly, and with finesse, is virtually undetectable and appears quite natural. The technique selected will be based on the anatomy of your existing nose and your individual aesthetic goal.
Bruising and swelling are the most common side effects, and typically resolve within a few weeks. The nose is protected in the early phase of healing by a splint. After this comes off, surgical tape is placed over your nose to further reduce swelling by the end of the second week. Some patients experience swelling and/or bruising around their eyes depending on how easily they bruise. The nose may swell in a manner that other people generally don’t notice. Typically, the pain is minimal and can be controlled with non-opioid pain medication.