Orange County Nose and Sinus Center

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Male Rhinoplasty

Modern society's increased emphasis on looking young and fit has caused men to begin to take an increasing interest in their appearance. They're spending more time shopping, working out, and even having cosmetic treatments to present their ideal image in both their professional and personal lives. "Over the last decade, it has become much more socially acceptable for men to undergo cosmetic surgery," says Newport Beach facial plastic surgeon, Dr. Kevin Sadati. "In today's society, men are expected to look young, healthy, and stylish, so they are turning to a wide variety of products and services, like Male Rhinoplasty surgery, to help them look their best."

Ideal candidates for rhinoplasty are males at least 17 years or older, people who are currently discontented with their nose appearance, and those seeking health-related improvements such as correcting a deviated nasal septum that causes difficulty breathing. Candidates should be in a good health, both physically and mentally with realistic expectations. A primary difference between male and female rhinoplasty candidates is that men tend to have thicker skin layers protecting stronger bone and cartilage structures. Male surgeries are usually performed using a technique which retains their masculine looks - characterized by a strong and straight nasal dorsum. Male rhinoplasty procedures that improve and maintain the natural masculine look is done carefully with a conservative approach to ensure that the overall look is coordinated with the rest of the face to achieve a facial harmony. Sometimes Dr. Sadati will recommend the patient combine the nose surgery with a chin implants if he sees that the nose is too pointy and there is evidence of weak chin.

While the procedures are similar for males and females, male rhinoplasty is distinct because of psychological motivations of the male patient. Proper screening is the key to successful results, as the physician bears the responsibility for the outcome. Physiologically, most male noses have thick nasal tip skin that worsens with age, creating a bulbous, droopy tip that requires supporting and defining grafts. Sports injuries present additional difficulties that may or may not be immediately correctable.

When approaching rhinoplasty in men, the initial consultation will bring out and differentiate between a man whose motivation is for reconstructive surgery and the one whose concern is purely cosmetic. Nasal injuries secondary to sports, altercations, or other mechanisms frequently involve men, and it is reasonable for these patients to wish to have the nose returned to a pre-injury state without other modification. This patient is much different from the male patient who has been bothered by the natural inherited shape of his nose. Whichever the case, full medical clearance and a thorough psychological evaluation is necessary before performing the surgery. Male patients in midlife usually have a well-imprinted body image and usually do not have major changes in their noses. These patients respond best to conservative and subtle changes that maintain a natural look that does not draw undue attention to the nose. This is different from a male teenager who has a clearly oversized nose who wants to improve it cosmetically, who may undergo an operation which is conservative but may make dramatic changes in size of nose.

Proper Shape of a Male Nose
For the most part, the perception of a handsome male nose has remained unchanged since the days of the Renaissance. In male aesthetics, a masculine nose is characterized in profile by a strong nasal dorsum. The desired dorsal line is either straight or has a small bony hump (slightly convex). A high dorsal profile has come to symbolize strength and is a desirable feature on the male nose. Most men wish for a strong, balanced facial profile that gives the impression of personal confidence. Sometimes, to achieve that balance it is necessary to perform a chin implant with the rhinoplasty. A weak or regressive chin gives a diminutive look to a patient.

Very often, male patients will grow a beard or goatee to hide their chin deficiency and often request a chin implant simultaneously with the rhinoplasty. Sometimes, a nose looks larger because of a regressive chin and a chin augmentation actually allows the surgeon to reduce the dorsum to a lesser degree, which is particularly helpful for a natural outcome. Psychologically, the less the dorsal reduction, the more masculinity is preserved. Occasionally, flat cheek bones too can make the nose look larger, and cheek implants can add further balance. From a frontal perspective, the dorsum should be straight; and in men, unlike women, there may be lateral fullness to the nasal bones at the rhinion (mid-part of nasal dorsum) which helps to provide a rougher, chiselled look.

As we progress into the 21st Century, it is becoming more commonplace for men to seek out cosmetic surgical procedures such as nose jobs. The stigma of the last half-century has disappeared and men are requesting rhinoplasty in all shapes and sizes!


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