Fakurnejad Shayan, Mohan Suresh, Seth Rahul, Knott Philip Daniel
Department of Otolaryngology-Head & Neck Surgery, University of California, 2233 Post Street, 3rd Floor, San Francisco, CA 94117, USA.
Facial Plastic and Reconstructive Surgery, Division of Otolaryngology, Yale School of Medicine, 47 College Street Suite 216A, New Haven, CT 06510, USA.
Otolaryngol Clin North Am. 2025 Apr;58(2):315-323. doi: 10.1016/j.otc.2024.08.001. Epub 2024 Sep 11.
Gender-affirming facial surgery is increasing in prevalence, and rhinoplasty plays an integral role in its success. The nose displays considerable gender dimorphism, and maneuvers performed during gender-affirming rhinoplasty may differ considerably from those performed during cis-gender surgery. During feminization rhinoplasty in particular, cosmetic goals often rely on reductive techniques such as osteotomies, dorsal reduction, sidewall narrowing, tip narrowing, and alar base narrowing. These maneuvers collectively have important ramifications when considering the functional aspects of the nose. Herein, we outline the status of feminization rhinoplasty, and the interplay of cosmetic and functional considerations of the field.
性别肯定性面部手术的普及率正在上升，隆鼻术在其成功中起着不可或缺的作用。鼻子表现出显著的性别二态性，性别肯定性隆鼻术中所进行的操作可能与顺性别手术中所进行的操作有很大不同。特别是在女性化隆鼻术中，美容目标通常依赖于诸如截骨术、鼻背降低、侧壁变窄、鼻尖变窄和鼻翼基底变窄等缩减技术。在考虑鼻子的功能方面时，这些操作共同具有重要影响。在此，我们概述女性化隆鼻术的现状以及该领域美容和功能考量之间的相互作用。
