The finding of frontal bossing, deep radix, straight nasal dorsum, and an overprojection of the nasal tip constitutes the angry face syndrome. Recognition of these patients and specific surgical attention to these features are especially rewarding to both patient and surgeon.
In our practice of facial plastic surgery, we consider patient body language and facial expression every day to make decisions about a patient's candidacy for surgery. While most body language and facial expressions are animated and dynamic, some static features are seen to convey aspects of psychological makeup. For example, a long, straight, wide nose is universally seen as masculine and confers a sense of strength or even invincibility to the person. The shorter, narrower, slightly retroussé nose gives a person a feminine character and a certain sense of vulnerability. Full lips, thin lips; small eyes, larger eyes all carry unspoken static messages that we intuitively interpret as being part of the person's psychological profile.
Pastorek NJ, White WM. The Angry Face Syndrome. Arch Facial Plast Surg. 2011;13(2):131-133. doi:10.1001/archfacial.2011.14