{"doi":"10.1093/asjof/ojad095","title":"Quantitative Analysis of Morphometric Changes in Feminization Rhinoplasty Utilizing a Standardized Forehead-Rhinoplasty Technique","abstract":"Abstract Background Rhinoplasty is one of the most commonly performed facial gender-affirming surgeries (FGASs) for transgender females, but well-established morphometric parameters describing feminizing nasal changes do not exist. Objectives Describe the author's technique for feminization rhinoplasty, analyze the changes in 3-dimensional nasal anthropomorphic parameters, and describe patient-reported outcomes. Methods Three-dimensional photogrammetric evaluation was performed both preoperatively and postoperatively in transgender female patients who underwent FGAS. Measurements assessed included the nasofrontal angle, nasolabial angle, dorsal height, mid-dorsal width, alar width, nasal tip width, and tip projection. Patients were surveyed preoperatively and postoperatively using the FACE-Q Nose module. Paired t-tests were utilized to assess changes in postoperative measurements and FACE-Q Nose satisfaction scores. Results Twenty patients underwent FGAS during the study period. The average time between surgery and postoperative 3-dimensional images was 13.6 ± 6.8 months. The nasofrontal angle increased by 8.2° (148.0 ± 7.4° to 156.1 ± 6.7°, P < .001) and tip projection increased by 0.017 (0.58 ± 0.03 to 0.60 ± 0.04, P < .01). Dorsal height, mid-dorsal width, and tip width all decreased significantly (P < .05). There were significant improvements in patients’ “Satisfaction with Nose,” “Satisfaction with Facial Appearance Overall,” “Psychological Function,” and “Social Function” on FACE-Q. One revision rhinoplasty was performed, and no documented surgical complications were reported. Conclusions There were statistically significant changes in the nasofrontal angle, tip projection, dorsal height, mid-dorsal width, and tip width in patients receiving feminization rhinoplasty. These data may help surgeons with preoperative planning and intraoperative decision making. Level of Evidence: 4","journal":"Aesthetic Surgery Journal Open Forum","year":2023,"id":351871,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9518,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1097420,"name":"David P. Alper","orcid":null,"position":1,"is_corresponding":false},{"id":1097421,"name":"Mariana N Almeida","orcid":null,"position":2,"is_corresponding":false},{"id":1096924,"name":"Kevin Hu","orcid":"0000-0002-5263-2718","position":3,"is_corresponding":false},{"id":1096925,"name":"Neil Parikh","orcid":"0000-0003-4850-8316","position":4,"is_corresponding":false},{"id":1096926,"name":"Jacqueline Ihnat","orcid":"0000-0002-6187-8605","position":5,"is_corresponding":false},{"id":1097422,"name":"Heloise M. De Baun","orcid":null,"position":6,"is_corresponding":false},{"id":445569,"name":"Michael Alperovich","orcid":"0000-0002-5093-5790","position":7,"is_corresponding":false},{"id":1096923,"name":"Vikram G. Mookerjee","orcid":"0000-0002-7970-4582","position":0,"is_corresponding":true}],"reference_count":39,"raw_metadata":null,"created_at":"2026-07-19T01:12:45.897709Z","pmid":"38075296","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}