1. The most important thing that should be kept in the foreground in the aesthetic appearance of male patients is to preserve the masculine appearance. How to do this may vary depending on the face type and harmony of each patient. As a general rule, the tip of the nose should not be lifted too much, it should not be thinned too much, and no upturned nose should be made (even in female patients, this is rarely done anymore, as it spoils the naturalness). While the angle between the nose and lips is 105 degrees in women, it is kept around 90 degrees in men.
If a straight nose with a slightly upturned tip is aimed, having the eye area, cheekbones and jaw lines more prominent creates a balance that prevents feminization. A dull chin structure and cheekbones can also make the nose appear larger than it is. Interventions in these areas may also be recommended to the patient to restore balance.
In general, making the nose very small, keeping its height strong even if a straight nose is made, and having good projection gives a more natural and positive result.
2. The wishes of male patients are not as homogeneous as those of female patients. In other words, male patients may sometimes only complain about the bridge of their nose, the drooping of the tip of their nose, or the width of the tip of their nose. Getting just this part done may be enough for them. Because there is no accepted standard aesthetic form for the male nose. There is a generally desired aesthetic shape in the female nose, which can be defined by the golden ratios, and to achieve this, all necessary areas of the nose are intervened.
3. In some male patients, the main motivation for nose surgery may be to breathe better, image-related desires may arise from secondary changes that occur during trauma leading to breathing problems.
4. In middle-aged and older men, the body image is generally well established, and making very noticeable changes may make the patient unhappy. On the other hand, in a patient who is in adolescence and is not at peace with the nose shape he inherited from his genetics, making conservative but significant changes may be a better option.
5. What kind of appearance will appear after surgery in male patients should be discussed on a sketch using digital imaging techniques and it should be understood how much change the patient wants.
6. Despite being more cautious, revision rates in male patients are slightly higher than in females.
7. The skin in male patients is thicker and oilier, which causes swelling to last longer after surgery. In order to make this skin a little better and tighten the pores, applying fractionated carbon dioxide laser before or after aesthetic nose surgery improves the quality of the studied skin. Acne rosacea and its advanced version, rhinophyma, may also be encountered in middle-aged and older male patients. In such patients, the structure that gives width to the tip of the nose is the excessive thickness of the skin rather than the tip cartilages, so the 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 surgeries involving bone fractures.
9. Male patients have more history of nose injuries due to sports and trauma than women. Septum deviation is more common or more pronounced in male patients. This must be corrected during aesthetic nose surgery.
10. Ethnic characters are more evident in men’s noses than in women. Ethnic nose types found in our country can be classified as ‘Black Sea Cape’ and ‘Arabian Cape’.
a. Black Sea Nose: Noses with relatively thin skin, but with a very pronounced arch, the tip of the nose protruding downwards, and not very wide.
b. Arabian Nose: These are patients who are long, widening downwards and have thick skin at the tip of the nose. The tip of the nose is drooping because there is no support.