I think anytime that we analyze a nose, we’re looking at the whole face.
- How wide the face is
- How long the face is
The most important things we take into account is the patients ethnicity and how far the chin projects out (a lot or little). Chin projection is actually THE MOST important factor to take into account.
Let’s say that all of those variables are fixed and the only difference is whether that patient is male or female.
When we take that into account, there are a couple differences between male and female rhinoplasty.
Men Should Have Strong Noses
One of the most important things that we take into account is that men deserve and should have strong noses. There’s nothing more masculine than a strong nose. You don’t have to have a big bump, but you don’t want to have a petite nose for a men. That’s feminizing. For men, they should have more of a straight profile.
Women Should Have Smaller Noses
For women, you want to have a smaller nose. Women tend to like to a tiny scoop or a straight profile. Some people like to have a small little scoop right pass the tip. That can be very feminine and most of my female patients consider this to be pretty.
How a surgeon like myself measures the nose
When it comes to the projection of the nose, the projection measurements are about the same. The lengths of the measurement from the alar crease to the nasal tip should be about 55% of the length of the nasal tip to the area between the eyebrows or the radix. That is standard for men and women, but what isn’t standard is the rotation of the nasal tip.
Another big difference between men and women is that the rotation of the nasal tip for men should be between 90 – 95 degrees. I measure a point on the upper lip to the area where the lip meets the nose and then that angle when the lip meets the nose to the nasal tip should be about 90 – 95 degrees.
For women, they look much better when the nose is trimmed up a little bit. It does not have to be Miss Piggy, but the average rotation for women which looks really good is anywhere between 95 – 110 degrees. The nose is definitely more upturned and that’s very pretty for men.
Summarizing these tips
Just to summarize, the big differences are the rotation of the nose for women, they like and they should have a little bit more of a upward rotated nose and they tend to have a more petite nose. Sometimes, a straight profile looks good and sometimes, a slightly scooped up profile looks good.
We don’t do what we used to do in the sixties and seventies, which is to give an artificial looking scoop, but just a very slight curve is pretty. For men, men should have big noses. Not too big, but it should definitely be strong and a very straight profile. It looks good on men.