Cosmetic Nose Surgery in Male Patients

Male patients are increasingly requesting cosmetic nose surgeries. In western countries, male patients constitute a quarter of all cosmetic nose surgery patients.
 
There are some fundamental differences that separate male cosmetic nose surgery from female cosmetic nose surgery:
 
1. The most important factor in the aesthetic looks of a male patient is to maintain the masculine look. The method of achieving this result may vary according to the facial type and harmony of the patient. As a general rule, the nose tip must not be excessively lifted or thinned, and a lifted nose has to be avoided (these are rarely done even in female patients, since they disrupt the natural look). The angle between the nose and the lip should be kept around 105 degrees for women, and 90 degrees for men.
 
If the objective is a straight nose with a slightly lifted tip, prominent cheekbones and chin lines will create a balance that prevents the feminization of the face. Indistinct chin structure and cheekbones may make the nose look larger than it actually is. Interventions in these areas may be suggested to the patient to ensure balance.
 
In general, minimizing the nose, maintaining a strong height even in a straight nose leads to a good projection, and a more natural, positive outcome.
 
2. The requests of male patients are not usually as homogenous and consistent as the female patients. This means that male patients may sometimes apply with only complaints about the nose bridge, or a low or wide nose tip. Correcting only these areas may be adequate for them. Because there is no standard cosmetic form for male noses. While for female noses, there is a cosmetic form that is usually demanded, and that can be defined through golden ratios, and this requires intervening in all the necessary parts of the nose.
 
3. The basic motivation for some male patients may be better breathing, cosmetic requests may be due to secondary changes resulting from traumas that lead to breathing problems.
 
4. The body image of middle-aged and older men is usually established and making prominent changes may make the patient unhappy. On the other hand, for an adolescent patient who is not in peace with his genetically inherited nose shape, conservative but prominent changes may be a better option.
 
5. For male patients, the potential outcome of the surgery has to be discussed over a draft using digital imaging techniques, and the amount of change demanded by the patient has to be well understood.
 
6. Although the interventions are more cautious, the revision rates for male patients are somewhat higher than for female patients.
 
7. The skins of male patients are thicker and oilier, this causes the swelling to last longer after surgery. Applying fractioned carbon dioxide laser before or after surgery to slightly improve this skin, and to firm the pores will make the skin quality better. For middle-aged or older male patients, acne rosacea or its advanced form, rhinophyma may be observed. Since the structure that provides thickness to the nose tip in such patients is the thickness of the skin, rather than the cartilages, the cosmetic intervention has to be planned accordingly.
 
8. The fact that bone and cartilage structures are thicker in men may cause more swelling and bruising on the face, especially in surgeries with bone breakage.
 
9. Male patients have a greater nose injury history due to sports and traumas than females. Septum deviation is more frequently encountered in men, and in more prominent dimensions. This also has to be fixed in cosmetic nose surgery.
 
10. Ethnical characteristics are more prominent in male noses than in females. The ethnical nose types commonly seen in our country are "Black Sea Nose" and "Arabic Nose."
a. Black Sea Nose: Noses that are not too wide, with relatively thin skin, but with a very prominent nose ridge, with a low-protruding tip.
b. Arabic Nose: Patients with a long nose widening downwards, with a thick skin on the nose tip. The tip of the nose hangs low because it has no support.
 

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