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The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
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Related Experiment Video

Updated: Sep 18, 2025

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Gender-Affirming Rhinoplasty: A Scoping Review.

Riley J Lehmann1, Christopher P Kruglik2, Michael J Nuara3

  • 1University of Washington School of Medicine, Seattle, Washington, USA.

The Laryngoscope
|June 21, 2025
PubMed
Summary
This summary is machine-generated.

This review highlights gaps in gender-affirming rhinoplasty research, emphasizing the need for validated patient-reported outcome measures (PROMs) and inclusion of diverse patient populations. Current literature shows high satisfaction and low complication rates.

Keywords:
cosmetic rhinoplastyfacial plastics/reconstructive surgeryrhinoplastytransgendertransgender surgery

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Area of Science:

  • Plastic Surgery
  • Gender-Affirming Care
  • Surgical Outcomes Research

Background:

  • Gender-affirming rhinoplasty literature is emerging.
  • Objective findings and patient outcomes require comprehensive evaluation.
  • Existing research presents knowledge gaps.

Purpose of the Study:

  • To conduct a scoping review of gender-affirming rhinoplasty literature.
  • To map objective findings and patient-reported outcome measurements (PROMs).
  • To identify research gaps and inform future studies.

Main Methods:

  • Comprehensive search of PubMed and Embase databases.
  • Inclusion of English language primary research on gender-affirming rhinoplasty published since 2014.
  • Extraction of data on PROMs, nasal anthropometry, revision, and complication rates.

Main Results:

  • 18 studies were included from 443 abstracts.
  • No PROMs were validated for gender-affirming rhinoplasty, yet satisfaction was high.
  • Nasal measurements varied significantly; complication and revision rates were low.

Conclusions:

  • Significant gaps exist in gender-affirming rhinoplasty literature.
  • Validated PROMs are needed to quantify gender-affirming effects.
  • Outcomes for non-Caucasian patients remain unaddressed; revision rates are comparable to cosmetic rhinoplasty.