Male Rhinoplasty: Update

Overview

This is a technique-and-principles paper with case illustrations, Level of Evidence V. Rohrich and Mohan argue that men may be less attentive to detail in consultation, so communication must be especially clear, and that screening for psychosocial disorders is important. The nose should not be feminised.

Sections of note

• Male rhinoplasty requires precise preoperative planning.
• Communication and clarity are "paramount" because male patients may be less attentive.
• Surgeons should screen for psychosocial disorders.
• Masculine features should be preserved; the nose should not be feminised or over-sculpted.
• Skin care, especially after surgery, is a key component.

What it means for a patient

• A good result for a man is usually a subtle one: a straight profile, a defined but not narrow tip, no visible scooping.
• Expect the surgeon to ask about motivations and to explain the plan in detail.
• Thicker, oilier male skin needs active care after surgery to show the result.

Why this paper matters

It is a concise statement of male rhinoplasty principles from an influential Dallas surgeon. Limits: expert opinion with cases, no outcome data.

Terms

• Feminisation: producing features read as female, such as a scooped bridge and upturned tip.
• Over-sculpting: removing too much tissue, producing an unnatural or operated look.
• Psychosocial screening: assessment for conditions such as body dysmorphic disorder before surgery.
• Skin care: regimens (cleansers, retinoids, sun protection) that affect how thick skin drapes over the new framework.