The quintessential goal of facial plastic surgery procedures such as rhinoplasty (nose job), facelift, etc., is to achieve a more youthful and/or harmonious appearance. Furthermore, the results must also be gender appropriate and in sync with the rest of the facial features, says leading Los Angeles plastic surgeon Dr. Tarick Smiley.
Over the past several years, rhinoplasty, facelift, and eyelid surgery have been the most commonly requested procedures of both men and women, according to surveys released by the American Society of Plastic Surgeons.
Dr. Smiley believes that the patient’s gender is one of the key variables that determines the ideal correction and surgical approach.
For both men and women, rhinoplasty ranks as one of the most commonly requested procedures. But due to its technically demanding nature, medical literature suggests that it has a higher revision rate compared to other facial plastic surgery procedures.
Aside from residual asymmetry, patients asking for revision rhinoplasty also complain about results that look of out sync with their gender and ethnicity, two key variables that a surgeon should have deep understanding to achieve a satisfying outcome.
Male noses are generally accepted to appear wider, longer, and bigger compared to female noses. For this reason, over-reduction, creation of suptra tip break (which contributes to the slightly upturned, “cutesy” nose), and over-narrowing of the nasal profile can spell disaster for most men.
Other key differences include straighter or more arched nasal bridge and more acute tip in men than women.
Facelift is another popular facial plastic surgery for both men and women. Contrary to popular belief, modern techniques go beyond pulling and tightening the skin that most also include the correction of volume/fat loss that contributes to the aged, gaunt appearance.
A good number of facelift patients also require “volumizers” to correct the hollowed cheeks. But when dealing with men, it is critical not to make the malar (cheekbones) prominent lest it could lead to a more rounded, fuller look that is synonymous with feminine beauty.
Most volumizers today come in the form of dermal fillers or fat transfer, although patients who need more correction (extremely gaunt cheeks) or desire for a more angular appearance might be more suitable for facial implants.
While cheek implants are more popular among female patients, the vast majority of patients requesting for chin and jaw implants are men because a more angular, chiseled face is closely tied to masculine attractiveness.
While there are generally accepted beauty ideals dictated by gender, Dr. Smiley says that facial attractiveness is determined by other key variables such as “right and left” symmetry, averageness, and youthfulness, among others.