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Functional and Cosmetic Considerations in Gender-Affirming Feminization Rhinoplasty
Shayan Fakurnejad1, Suresh Mohan2, Rahul Seth3
1Department of Otolaryngology-Head & Neck Surgery, University of California, 2233 Post Street, 3rd Floor, San Francisco, CA 94117, USA.
Feminization rhinoplasty uses reductive techniques to achieve cosmetic goals, which can impact nasal function. This review discusses the current state of feminization rhinoplasty, balancing aesthetic aims with functional considerations.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Gender-affirming care
Background:
- Gender-affirming facial surgery is growing in popularity.
- Rhinoplasty is a key procedure in facial feminization.
- Nasal anatomy exhibits significant gender dimorphism.
Purpose of the Study:
- To review the current status of feminization rhinoplasty.
- To explore the relationship between cosmetic and functional outcomes in this procedure.
Main Methods:
- Review of current literature on feminization rhinoplasty.
- Analysis of surgical techniques and their functional implications.
- Discussion of aesthetic goals and their impact on nasal function.
Main Results:
- Feminization rhinoplasty often employs reductive techniques (e.g., osteotomies, dorsal, sidewall, tip, and alar base narrowing).
- These cosmetic maneuvers can have significant functional consequences.
- Balancing aesthetic and functional results is crucial for successful outcomes.
Conclusions:
- Feminization rhinoplasty requires careful consideration of both cosmetic and functional aspects.
- Understanding the interplay between these factors is essential for surgeons.
- Further research may be needed to optimize functional preservation during aesthetic feminization procedures.
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