How Can Rhinoplasty Make Nose More Masculine?

Question

Hello, I am a 20 year old male and I feel my nose is very feminine (photo on the left). I wondered if its possible to make the nose wider and and my nasal tip less pointy and more rounded like my photo on the right shows shows, can anybody help? Thank you.

Rod J. Rohrich, MD · Answer

Male rhinoplasties are completely different. The principles may be similar to the female rhinoplasty, but the end result needs to be much different in that the nose has to match masculine facial features which means it cannot have as a refined nasal tip nor a significant, if any, nasal supratip break area.

Ali Sajjadian, MD, FACS · Answer

Thank you for your inquiry!

Without additional pictures and a consultation with a physical
examination it is not possible to provide you with specific details. I highly
recommend that you schedule a consultation with a well-experienced surgeon. In general a harmonious look to the nose is the main goal for any type of surgery.

It is important to mention that the
finest cosmetic results in any particular case are based on a variety of
factors, including: the unique anatomy of the patient, realistic expectations,
a well-informed and detailed discussion with your plastic surgeon concerning
the best options for you especially covering a deep understanding of the pros
and cons of any given choice you will adopt.

Please keep in mind that following the
advice from a surgeon online who offers to tell you what to do without a
physical examination covering the nature and the status of the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of each operative solution would not be in your best
interest. With that in mind, it is the safest and for your best interest to
find a plastic surgeon with solid experience and certified by the American
Board of Plastic Surgery who is ideally a member of the American Society of
Plastic Surgeons that you will trust and be comfortable with. You should
discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Paul S. Nassif, MD · Answer

Hello,
It is possible to make the nose wider and add fullness to the tip.  I would need to see additional photos and/or perform an examination to give you the best advice. Thank you and best of luck.
Dr. Nassif

Philip S. Schoenfeld, MD, FACS · Answer

Several features of a nose help to convey a more masculine look to the face.  A strong nasal dorsum (bridge) is one that really comes to mind. Widening the nose may help to make your face more masculine, but the nose has to blend in with the rest of your face in order to look appropriate on your face.  
Rhinoplasty is capable of many changes to your nose, but there are definitely limitations.  I would consult with an experienced rhinoplasty surgeon and tell them what your desires are. They should be able to give you some helpful suggestions to accomplish your desired goals.

Otto Joseph Placik, MD · Answer

Certain features are said to make a nose appear more feminine. These incude the angle of the columella with the lip. However, making the tip more broad is significantly more difficult and may require more aggressive managemetn of the lower lateral cartilages with onlay grafts. Seek a consultation with an experienced surgeon.

Michael A. Persky, MD · Answer

Hi Black,
Rhinoplasty, using cartilage grafts from your nasal septal cartilage, can accomplish the changes in your nose that your desire.  The most important aspect for you is choosing your surgeon most carefully as it is not "rhinoplasty", but the surgeon that will help you achieve the results that you desire.
Good luck and be well.
Dr. P

Toby Mayer, MD · Answer

There are many men with noses that are quite masculine like the one you already have. If you happen to like a certain type of nose, i.e., wider or broader tip etc. that can be done.

William Portuese, MD · Answer

It is possible to do reverse osteotomies to widen the nasal bridge. Cartilage grafts, such as spreader grafts can be used to create width to the lower third of the nose. Alar batten graft will make the tip less pointy if needed.

Ashkan Ghavami, MD · Answer

You have a relatively uncommon request however this is veru possible and fairly simple to do.
Cartilage from your septum would have to be transferred to your dorsum (bridge) and nasal sidewalls as well as your tip. Spreader grafts and alar spreader grafts are several specific ways to accomplish widening of your midvault (middle third of your nose) and the bridge and the lower tip cartilages.
In exterme cases or in cases where you would need or want a very dramatic widening effect, a tiny piece of your own rib cartilage can be grafted.
Hope this helps.

Kenneth R. Francis, MD, FACS · Answer

Black,
Your request is a unique one. But, indeed the nose can be masculinized. It would most likely involve the use of cartilage grafts to widen your cartilages and possibly even breaking your nasal bones to widen them as well. Good luck!

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