Feminizing Rhinoplasty – Before and After

This patient underwent the following procedures as part of Facial Feminization Surgery (FFS).
– Rhinoplasty

Reduction Rhinoplasty

Dorsal reduction & smooth aesthetic lines – Precise reduction of the nasal dorsum eliminated the dorsal hump, establishing smooth, unbroken dorsal aesthetic lines from the brow down to the nasal tip. This creates a softer, more delicate bridge contour that is best appreciated in the 90-degree profile and 45-degree oblique views, as well as the downward-facing angle.

Nasal tip elevation & refinement – The nasal tip was elevated and sculpted to increase tip rotation and definition. Raising the tip removes downward heaviness, creating a lighter, classically feminine angle between the lip and nose. These tip refinements are most evident in the lateral profile views, three-quarter views, and during active facial expressions in the smiling frontal view.

Frontal harmony & basal symmetry – From the front, the combination of bridge reduction and tip definition creates a narrower, more harmonious central facial feature that sits naturally with her remaining features. The basal (upward-facing) view highlights the symmetry, refined cartilage structure, and balanced proportions of the nasal base.

Dr. Mittermiller’s approach to feminizing rhinoplasty is to create a result that appears inherently feminine and natural. These before-and-after photos allow patients to observe the significant visual transformation possible through targeted nasal reshaping. Because facial structure and personal goals vary, discussing your specific anatomy and expectations during a private consultation is essential.