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In general, the fundamental surgical technique used for rhinoplasty does not differ based on the gender of the individual. For instance, an open rhinoplasty for a female patient is performed the same way it is for a male patient—using incisions inside the nose as well as a very small incision made along the columella (the fleshy nasal tissue at the nasal base that separates the left and right nostrils). The same holds true for closed rhinoplasty, which is conducted using a limited number of internal incisions only.

That being said, rhinoplasty for males versus females does often differ in regard to the cosmetic desires and distinguishing characteristics usually associated with each gender. In comparison to females, most males have a wider, more prominent nasal bridge. Furthermore, the tip of the nose for the majority of men tends to be less elevated, often creating an angle of approximately 90 to 95 degrees between the upper lip and nose. In contrast, the nasal bridge for many women is typically narrower and less prominent. The tip of the nose also tends to be narrower, and the angle between the nose is slightly more elevated at between 95 to 105 degrees. These traits—in combination with relatively thinner skin—generally result in nasal features that are a bit sharper and/or more delicate in nature.

In the end, these are simply generalities; patient ethnicity, cultural preferences, personal tastes, and pre-operative anatomy also greatly affect what is considered aesthetically desirable in rhinoplasty. Regardless of what’s considered “normal” for the male or female nose, the rhinoplasty procedure can be tailored to meet the unique needs and desires of the individual.

Dr. Lawrence Tong, Toronto Plastic Surgeon