Our Summary

This research paper discusses how surgeons not regularly dealing with patients experiencing gender dysphoria are more likely to be consulted for a nose job (rhinoplasty) rather than a full facial gender-confirming surgery. The process of performing a nose job for these patients is very similar to that for cisgender (those whose gender identity matches their sex at birth) patients. However, the care and considerations for those seeking a nose job due to gender dysphoria are very different compared to cisgender patients. The paper also discusses gender norms and considerations for pre-surgery preparations and procedures, and includes a thorough review of related literature.

FAQs

  1. How does the process of performing a nose job for patients experiencing gender dysphoria compare to that for cisgender patients?
  2. What are the unique care considerations for those seeking a nose job due to gender dysphoria?
  3. What does the research paper say about gender norms and pre-surgery preparations for patients undergoing rhinoplasty due to gender dysphoria?

Doctor’s Tip

A helpful tip a doctor might tell a patient about rhinoplasty is to have realistic expectations about the outcome of the surgery. It is important for patients to understand that while rhinoplasty can improve the appearance of the nose, it may not always result in perfection or meet every expectation. Patients should also be aware of the potential risks and complications associated with the procedure, and discuss these with their surgeon before making a decision. Additionally, patients should follow their surgeon’s post-operative care instructions closely to ensure proper healing and optimal results.

Suitable For

Patients who are typically recommended for rhinoplasty include those seeking to improve the appearance of their nose for cosmetic reasons, patients with breathing difficulties due to structural issues in the nose, and patients with congenital abnormalities or injuries that have affected the appearance or function of the nose. Additionally, patients experiencing gender dysphoria may also be recommended for rhinoplasty as part of their gender-confirming surgery to align their physical appearance with their gender identity.

Timeline

Before Rhinoplasty:

  1. Consultation: The patient will typically have a consultation with a plastic surgeon to discuss their goals and expectations for the surgery. For those with gender dysphoria, this may involve discussions about how the nose job fits into their overall transition goals.

  2. Pre-operative evaluations: The patient will undergo various medical evaluations to ensure they are healthy enough for surgery. This may include blood tests, a physical exam, and possibly a psychological evaluation, especially for those with gender dysphoria.

  3. Surgical planning: The surgeon will work with the patient to develop a surgical plan that addresses their specific concerns and goals. This may involve computer imaging to show the patient potential outcomes.

  4. Pre-surgery instructions: The patient will receive instructions on how to prepare for the surgery, including guidelines on eating and drinking before the procedure, as well as any medications to avoid.

After Rhinoplasty:

  1. Recovery: After the surgery, the patient will need time to recover. This may involve wearing a splint on the nose and possibly packing inside the nose to support the new shape.

  2. Follow-up appointments: The patient will have follow-up appointments with the surgeon to monitor their healing progress and address any concerns or complications.

  3. Results: Over time, the swelling and bruising will subside, and the final results of the nose job will become more apparent. It may take several months for the full results to be visible.

  4. Psychological support: For patients with gender dysphoria, it is important to have ongoing support from mental health professionals to ensure they are adjusting well to the changes in their appearance and to address any emotional challenges that may arise.

Overall, the process of undergoing rhinoplasty for patients with gender dysphoria involves careful consideration of their specific needs and goals, both before and after the surgery. It is important for surgeons to be sensitive to the unique experiences of these patients and to provide appropriate support throughout the process.

What to Ask Your Doctor

  1. What experience do you have performing rhinoplasty procedures for patients experiencing gender dysphoria?

  2. Can you provide before and after photos of rhinoplasty procedures you have performed on patients with similar concerns to mine?

  3. What are the potential risks and complications associated with rhinoplasty surgery?

  4. What is the recovery process like for rhinoplasty surgery, and how long can I expect it to take?

  5. How will my gender identity and dysphoria be taken into consideration throughout the rhinoplasty process?

  6. Will I need to follow any specific pre-surgery guidelines or recommendations before undergoing rhinoplasty?

  7. What type of results can I realistically expect from rhinoplasty surgery, and how long will the results last?

  8. How will my nose be reshaped to align with my desired gender presentation and identity?

  9. What type of anesthesia will be used during the rhinoplasty procedure, and what are the potential side effects or risks associated with it?

  10. How much will the rhinoplasty procedure cost, and will it be covered by insurance?

Reference

Authors: Berli JU, Loyo M. Journal: Facial Plast Surg Clin North Am. 2019 May;27(2):251-260. doi: 10.1016/j.fsc.2019.01.003. PMID: 30940391