Rhinoplasty, or nose-reshaping surgery, is the most challenging procedure in facial plastic surgery due to the nuances that define the ideal nose. Instead of being confined by a strict set of “beauty tenets,” several variables determine the ideal or attractive nose; these include the patient’s gender, ethnicity, face, nasal anatomy, and even height.
Leading Los Angeles plastic surgeon Dr. Tarick Smiley has recently posted a series of Snapchat videos demonstrating two patients who have had female rhinoplasty.
Female Rhinoplasty Before and After Photos of Actual Patients
Prior to surgery, patient no. 1 had a “bulky” tip and an absent supratip break, which is a very subtle dip right before the tip. This is one of the nuances to female rhinoplasty that makes the results more attractive and gender appropriate.
Meanwhile, the appearance of supratip break should be avoided in male rhinoplasty due to the feminizing effect.
Dr. Smiley performed the closed rhinoplasty in which all the incisions were placed inside the nostrils, specifically within their inner lining. The technique not just results in shorter recovery and but also reduced bleeding and post-op swelling. Another notable benefit is the complete elimination of visible scars.
Through closed rhinoplasty technique, Dr. Smiley corrected the bulkiness of the tip by removing the excess cartilage, a framework that supports the lower two-thirds of the nose. This was done in a conservative manner to narrow the tip without compromising its structural integrity.
To reinforce the tip and promote near permanent results, Dr. Smiley cut and reshaped the excess cartilage before this was re-used to support the slightly elevated tip.
By slightly elevating the tip and making sure that it is “a bit higher than the dorsum or bridge of the nose,” Dr. Smiley said the “aesthetically pleasing” supratip break can be created.
Since Dr. Smiley deemed that the patient has a “nice starting dorsum,” it received very minimal change during surgery.
Patient no. 2 had a large dorsal hump that looked like a “hook,” which appeared incongruous with her feminine features. Further making her nose too big and long was her drooping tip that had insufficient structural support.
Dr. Smiley also performed the closed rhinoplasty technique due to the auspicious results such as shorter downtime and no visible scar.
The patient’s dorsal hump was corrected by removing a relatively large piece of excess cartilage. To further create a smooth transition between the three regions of the nose, Dr. Smiley also rasped its bony part (the upper one-third of the nose).
The excised cartilage was later reshaped for tip reconstruction; the goal was to raise the drooping tip, reduce its width, and provide a stronger support for the new contour.
Both patients benefitted from a conservative elevation of their nasal tip. According to studies, attractive female noses have a tip rotation (angle between the upper lip and tip) that is between 95 and 110 degrees, leading to a slightly upturned appearance.
Attractive male noses, meanwhile, have a tip that appears straighter. Hence, rhinoplasty for men aims for an angle of tip rotation near 90 degrees or slightly less.