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Comment & Response
May/Jun 2017

Ethnic Considerations for Rhinoplasty in Facial Feminization

Author Affiliations
  • 1Division of Plastic Surgery, Department of Surgery, University of Washington School of Medicine, Seattle
  • 2Hansjörg Wyss Department of Plastic Surgery, New York University School of Medicine, New York
JAMA Facial Plast Surg. 2017;19(3):243. doi:10.1001/jamafacial.2017.0223

To the Editor The recent publication by Bellinga and colleagues1 highlights a case series of feminization rhinoplasties to identify important factors to achieve superior long-term results and to improve patient satisfaction. This work contributes to a small but growing collection of research in facial feminization, which has become an area of interest in facial plastic surgery. The authors highlight the importance of sufficient long-term support and stability through manipulation of the osteocartilaginous skeleton of the nose and cartilage grafting as well as lip-lift and nasofrontal transition modification for improved aesthetic outcomes. The authors identify 3 objectives in planning a rhinoplasty in the context of facial feminization surgery, including feminization of the nose, creating harmony between the feminized nose and other modified facial structures, and achieving aesthetic results that transcend gender differences.