How is the male to female transgender rhinoplasty different from the female rhinoplasty?
Rhinoplasty for the male to female transgender patient is different than the average female rhinoplasty because the skull is larger in the male. This must be taken into account when doing the rhinoplasty for the harmony of the component parts of the face. Otherwise, as I’m sure many of you have noticed, the nose is too small and turned up and therefore, looks unnatural and not balanced. What I do is to make the tip more refined and give the nose a female shape without a bump but in proportion to the rest of the skull. If this is not done the eye perceives an abnormality in the way the “pieces of the face” fit together. This is the basis of the work of Leonardo da Vinci and it has not changed in 500 years!