Male rhinoplasty

Two-sentence lead. Male rhinoplasty aims to keep masculine features and avoid over-sculpting; a 503-person survey judged a straight-to-slight-slope male profile (nasofrontal angle 130 degrees, nasolabial angle 97 degrees) more attractive, younger, and more approachable than one with a hump. Fewer men than women seek rhinoplasty, men carry a higher rate of body dysmorphic disorder and harder-won satisfaction, and five papers are on file, one of them title-only.

Key points

• Social perception survey, 503 respondents (81.9% women; 76.7% white; median age 46, IQR 32-61): the ski-slope dorsum with nasofrontal angle 130° and nasolabial angle 97° was judged most attractive (95% CI 18%-26%; P<.001) [31219525]
• Dorsal contours without a hump were most often linked to youth (95% CI 15%-24%), approachability (13%-20%), and femininity (14%-22%) [31219525]
• The hump-shaped dorsum with NFA 140° and NLA 105° was rated oldest (35%-44%), least approachable (27%-35%), least attractive (37%-42%), and least healthy (26%-34%) [31219525]
• 12 computer-simulated profile images of one male volunteer varied dorsal shape, NFA, and NLA; subset preferences differed by observer age, gender, and race/ethnicity [31219525]
• Male rhinoplasty update: precise preoperative planning; clearer communication because male patients may be less attentive; screen for psychosocial disorders; preserve masculine features, do not feminize or oversculpt; postoperative skin care; Level V case series [32221209]
• Male rhinoplasty videos on YouTube and TikTok assessed by DISCERN analysis, title only on file [38621185]
• Contemporary male rhinoplasty review: fewer men seek surgery; principles match female rhinoplasty with anatomic exceptions; body dysmorphic disorder is more frequent in men and satisfaction harder to secure, so the consultation must be thorough and deliberate [38936997]
• Asian male rhinoplasty and blepharoplasty review: distinct anatomic and aesthetic targets for this group with current techniques described; no outcome data in the abstract [38936994]

Techniques and terms named

nasofrontal angle (NFA) [31219525], nasolabial angle (NLA) [31219525], ski-slope dorsum [31219525], dorsal hump [31219525], computer simulation of profiles [31219525], psychosocial screening [32221209], DISCERN analysis [38621185], male body dysmorphic disorder screening [38936997], Asian male rhinoplasty [38936994]

Numbers to remember

• 503 respondents; preferred male profile NFA 130° / NLA 97° [31219525]
• Least preferred male profile NFA 140° / NLA 105° with dorsal hump [31219525]
• 81.9% of respondents were women [31219525]
• Five male-rhinoplasty papers on file; one survey (n=503) carries all the numbers [31219525]

Numbers

What is still contested or missing

• Perception data come from 12 simulations of a single volunteer's face rated by a mostly female, mostly white sample [31219525]
• The male-rhinoplasty technique update is Level V, based on case examples [32221209]
• Online video quality data [38621185] are title-only on file [38621185]
• No male-specific revision, complication or satisfaction rate exists in the papers on file; claims of higher dysmorphia and lower satisfaction are narrative [38936997]
• Asian male review gives techniques without numbers [38936994]

Papers used

• Rohrich RJ, Mohan R. Male Rhinoplasty: Update. Plast Reconstr Surg 2020. PMID 32221209. DOI 10.1097/PRS.0000000000006835
• Tam B et al.. An Evaluation of Male Rhinoplasty Videos on YouTube and TikTok: A DISCERN Analysis. Facial Plast Surg Aesthet Med 2025. PMID 38621185. DOI 10.1089/fpsam.2023.0249 (title only)
• Nuyen B et al.. Social Perception of the Nasal Dorsal Contour in Male Rhinoplasty. JAMA Facial Plast Surg 2019. PMID 31219525. DOI 10.1001/jamafacial.2019.0321
• Wayne I. Contemporary Male Rhinoplasty Surgery. Facial Plast Surg Clin North Am 2024. PMID 38936997. DOI 10.1016/j.fsc.2024.03.004
• Frederick JW et al.. Asian Male Blepharoplasty and Rhinoplasty. Facial Plast Surg Clin North Am 2024. PMID 38936994. DOI 10.1016/j.fsc.2024.03.005