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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Functional Outcomes After Feminizing Rhinoplasty.

Luv Amin1, Arthur W Wu2, Henry H Chen2

  • 1California University of Science and Medicine, School of Medicine, Colton, California.

Facial Plastic Surgery : FPS
|April 16, 2025
PubMed
Summary
This summary is machine-generated.

Feminizing rhinoplasty, part of facial feminization surgery (FFS), does not worsen nasal obstruction. This procedure may even improve breathing function, as indicated by reduced nasal obstruction symptom scores in transgender women.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Gender-Affirming Care

Background:

  • Feminizing rhinoplasty is a component of facial feminization surgery (FFS) to align nasal aesthetics with gender identity.
  • Nasal obstruction is a potential complication of rhinoplasty, but its specific impact after feminizing rhinoplasty remains unclear.

Purpose of the Study:

  • To investigate whether feminizing rhinoplasty leads to nasal obstruction due to structural changes.
  • To assess the functional outcomes of feminizing rhinoplasty concerning nasal airflow.

Main Methods:

  • A prospective cohort study was conducted with participants undergoing cosmetic rhinoplasty and transgender females undergoing feminizing rhinoplasty.
  • The Nasal Obstruction and Symptom Evaluation (NOSE) survey was administered preoperatively and at 3, 6, and 12 months postoperatively.
  • Data were analyzed using a t-test to compare outcomes between groups.

Main Results:

  • Nasal Obstruction and Symptom Evaluation (NOSE) scores significantly decreased in all study groups.
  • Transgender females demonstrated substantial reductions in NOSE scores: 78% at 3 months, 84% at 6 months, and 77% at 12 months.
  • No significant differences in postoperative NOSE scores were observed between the cosmetic rhinoplasty and FFS groups.

Conclusions:

  • Feminizing rhinoplasty does not appear to cause or worsen nasal obstruction.
  • The findings suggest that feminizing rhinoplasty may improve nasal breathing function.
  • These results support the safety and potential functional benefits of feminizing rhinoplasty within FFS.