Male patients are also increasingly requesting aesthetic nose surgery. In Western countries, a quarter of the patients who have aesthetic nose surgery are men.
There are some basic differences that distinguish rhinoplasty in men from women: 1. The most important thing to be prioritised in the aesthetic appearance of the male patient is to preserve the masculine appearance. How to do this may vary according to the facial type and harmony of each patient. As a general rule, the tip of the nose is not lifted too much, it is not thinned too much and an upturned nose is not made (it is rarely done now because it disrupts the naturalness even in female patients). The angle between the nose and lips is kept around 105 degrees in women and 90 degrees in men.
If a straight and slightly upturned nose is aimed, the more prominent eye contour, cheekbones and jaw lines create a balance that prevents femininity. A faint chin structure and cheekbones can also make the nose look larger than it is. The patient may be offered interventions in these areas to achieve balance.
In general, reducing the nose too small, keeping the height strong even if a flat nose is made, and having a good projection gives a more natural and positive result.
2. The requests of male patients do not contain a homogeneous integrity as in female patients. In other words, male patients may sometimes only complain about the nasal arch, low nasal tip or wide nasal tip. It may be enough for them to have only this part done. Because there is no accepted standard aesthetic form in the male nose. In the female nose, on the other hand, there is an aesthetic shape that is generally desired and can be defined by golden ratios, and all necessary areas of the nose are intervened to achieve this.
3. In some male patients, the main motivation for nasal surgery may be to breathe better, while image-related desires may result from secondary changes that occur during trauma leading to breathing problems.
4. In middle-aged and older men, body image is usually well established and making very noticeable changes may make the patient unhappy. On the other hand, it may be a better option to make conservative but significant changes in a patient who is in adolescence and is not at peace with the shape of the nose that comes as a genetic inheritance.
5. The postoperative appearance of male patients should be discussed on a draft with digital image techniques and it should be understood how much change the patient wants.
6. Despite more cautious behaviour, revision rates in male patients are slightly higher than in female patients.
7. In male patients, the skin is thicker and oily, which causes swelling to last longer after surgery. In order to improve this skin and tighten the pores, fractionated carbon dioxide laser application before or after aesthetic nose surgery improves the quality of the skin. Acne rosacea and its advanced version, rhinophyma, can also be encountered in middle-aged and older male patients. Since the structure that gives width to the tip of the nose in such patients is the excessive thickness of the skin rather than the nasal tip cartilages, aesthetic intervention should be planned accordingly.
8. Thicker bone and cartilage structures in men may cause more bruising and swelling on the face, especially in bone fracture operations.
9. Male patients have a history of nasal injuries due to sports and trauma more than female patients. Deviated septum is more common or more prominent in male patients. This must be corrected during aesthetic nose surgery.
10. Ethnic characters are more prominent in male noses than in female noses. Ethnic nose types encountered in our country can be categorised as 'Black Sea Nose' and 'Arabian Nose'.
a. Black Sea Nose: Noses with relatively thin skin, but with a very prominent arch, the tip of the nose protruding downwards, not very wide.
b. Arabian Nose: Patients with a long, downward widening and thick skin at the tip of the nose. The tip of the nose is drooping because there is no support.
How Do You Narrow a Very Wide Nose Base?
From the opposite view, your nose may look very wide and large on your face. This width may be due to the bone part, the tip of the nose or the base of the nose. Especially the nasal base widths become more prominent with facial expressions. The widths in the upper bone part give the face an abnormal expression. The two eyes look as if they are too far from eachother.