Facial Feminization Surgery
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Dr Bart van de Ven, tel: 0032-478 63 57 60 (mobile), info@drbartvandeven.com
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Rhinoplasty (nose)

Home / Procedures / Rhinoplasty (nose)

Aside from the trachea shave, nose reshaping is probably the most common facial feminization procedure. The nose is the most prominent feature of the face. Many transwomen reckon that nasal refinement can create marked improvements in their female facial appearance. It tends to make the eyes look larger, bring out the cheekbones and it adds delicacy to the overall facial impression.


Alexis full FFS before and after

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Rita Forehead recontouring, hairline lowering and rhinoplasty (after 6 months)

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Lana’s facial feminisation surgery

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Zoe rhinoplasty before and after


Forehead recontouring and rhinoplasty Kim before and after


Nicole rhinoplasty


Elisa forehead recontouring and rhinoplasty

Gender of the nose

Male nose

  • Bigger in all aspects.
  • Angle between the male forehead and nose is strongly pronounced.
  • Angle between nose and lip is less pronounced.

Female nose

  • Smaller in all aspects.
  • Angle between the male forehead and nose is more vertical.
  • Angle between nose and lip is more accentuated.

Male noses are usually larger than those of women, with a broader nasal bone. Men more often have a nasal hump. Usually, beautiful female noses are smaller than those of men, in all aspects. They tend to be narrow and straight, or to have a gentle curvature like a slide.
The angle between the male forehead and nose is sharper than in women and the angle between the nose and lip is also smaller (more pointing upwards). The angle between the nose and the lip is bigger in women than in men. Women´s nostrils are usually smaller as well.

Feminizing the nose

Standard rhinoplasty techniques can be used to make the nose smaller and to give it clear feminine outline and proportions, taking into consideration that it should be harmonious with the rest of the face.
In a reduction rhinoplasty, generally the dorsum and tip of the nose need to be made smaller and the tip lifted. Correction of the frontal bossing will improve the angle between the nose and the forehead.
If one has thin skin, a significant reduction can generally be completed. If the skin is quite thick (as is often the case in males), the contour can still be markedly improved, but there may be a definite limitation to the size reduction possible. However, contour changing alone greatly feminizes the basic nasal appearance.

Procedure nose feminizing

  • Rhinoplasties are usually done under general anesthesia. In certain minor cases, local anesthesia and sedation may be used.
  • The operation generally lasts between one and two hours.
  • For feminizing rhinoplasties we prefer the ‘open method’ because it gives the surgeon more operational space. In the ‘open’ approach one small incision is outside the nose across the columella (the skin between the nostrils). This incision is generally extremely difficult to see.
  • According to your individual needs following actions may be done:
  • Refining the tip— A section of the tip cartilage is excised to achieve refinement or ‘narrowing’ of the nasal tip.
  • Shaping the profile—The bone-cartilage hump is removed. A surgical file or rasp is commonly used to smooth the bony hump, in order to achieve more precise results.
  • Narrowing the nasal bone— If the bridge of the nose is wide, it can be narrowed by fracturing the nasal bone on each side and moving it closer to the centre.
  • Narrowing the nostrils— The volume of the nostrils can be reduced by alar base excision
  • A splint will be put on your nose to help support the new shape.
  • Packing is placed inside your nostrils to help stabilize the interior structure of your nose.
  • Small sutures will be used to close the incisions.

Recovery

  • Breathing— Most people find it very difficult not being able to breathe through their noses while the packing is still in. Your mouth and lips might dry out fairly easy and you experience some difficultiy swallowing. Usually the packing stays in for three to seven days.
  • Stiches—The stitches underneath the nose come out in a week to ten days.
  • Cast— The cast comes off after nine days. The nose is usually very tender at that point and extra care must be taken to avoid bumping it or sleeping on it.
  • Bleeding—Some sporadic bleeding could be expected during the first couple of weeks, which is normal and should not be a cause of concern.
  • Bruising— Most people get bruising around the eyes and cheeks. The bruises under the eyes will intensify during two or three days before they begin to vanish. 15 days later, only you and your surgeon will be able to notice any traces of the surgery.
  • Appearance—Your nose will regain its normal appearance very soon, but the definitive results will be fully appreciated after six months. The tip is the area that takes the longest to acquire its new shape.

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More in this section

  • About FFS in general
  • Forehead recontouring
  • Hairline lowering and recontouring
  • Hairline lowering in two operations with expansion
  • Brow lift
  • Rhinoplasty (nose)
  • Cheek augmentation
  • Lip lift
  • Lip augmentation
  • Jaw angle reduction
  • Chinplasty
  • Adams Apple reduction
  • Lipofilling (fat transfer)
  • Facelift
  • Blepharoplasty (eyelid surgery)
  • Canthoplasty (lifting corner eye)
  • Nasiolabial folds
  • Earlobe reduction
  • Permanent Make Up
  • Laser facial resurfacing
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Dr Bart van de Ven - Facial Feminization Surgery (FFS) in Europe - Ghent/Gand/Gent (Belgium/Belgique) - Consultation Facial Feminization Surgery (FFS) in London (United Kingdom, UK)