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Transgender Rhinoplasty

Transgender Rhinoplasty

When you have made the decision to pursue a life changing procedure such as transgender surgery, your facial appearance is an important part of your transition. Rhinoplasty, also known as nose surgery, is one of the most important procedures to consider because the nose is such a prominent facial feature and should be performed by a surgeon who specializes in Rhinoplasty in order to achieve the nose that you are happy with. If you are considering undergoing a transgender Rhinoplasty procedure then you can rest assured that your aesthetic goals will be taken care of with respect, compassion, and confidentiality at the offices of Dr. Solomon.

Dr. Solomon offers a myriad of different facial procedures that will cater to the unique needs and concerns of his patients. He is also a double board certified surgeon that will be happy to provide you with a confidential consultation in order to properly assess your unique facial contours and dimensions to provide a customized transformational plan to help you look the way you feel inside. Dr. Solomon is not only the current chief of surgery at York Centre Hospital but also teaches at the University of Toronto Department of Otolaryngology, Head and Neck Surgery Division of Facial Plastic Surgery.

Transgender Rhinoplasty Assessment

Dr. Philip Solomon, MD, FRCSC has performed well over a thousand rhinoplasties and understands what features make a nose appear more feminine. “I usually see patients who are making the transformation from male to female. A female nose has narrower nasal passages, a steeper nasal bridge and narrower nasal bones,” says Dr. Solomon.

A different approach is required when compared to conventional female Rhinoplasty as the male skull is typically larger than its female counterpart. In order to create a harmonious balance, when factoring in the multitude of facial components, such factors need to be considered. Otherwise, the patient may end up with a nose that is too turned up and small, resulting in a “unbalanced “or unnatural nose. To remedy such issues, Dr. Solomon may refine the tip of the nose and sculpt the nose, minus the protrusion; resulting in a nose that is in strict proportion with the remainder of the skull.

Transgender Rhinoplasty

What Happens Before And During Surgery?

What occurs will depend on the extent of the work required. For instance, a transgender patient may desire a more feminized nose while making their transition, but may also have other underlying problems that need to be rectified. Dr. Solomon may look at the basal frontline photo and discover that his patient has a chronic nasal blockage conundrum that needs to be treated immediately. Perhaps a look at the patient’s history may uncover a history of several nasal fractures brought on by high intensity contact sports.

Aesthetically speaking, the patient may have an over-projected tip that is quite full in appearance as well as a broad hump on the bridge. In such a case, Dr. Solomon may begin with open Rhinoplasty incisions. This is done so that the patient’s deviated septum can be repaired. The nasal skin tip may also need to be elevated momentarily so that he can access the underlying nasal cartilage. A three point counter retraction technique may also be implemented in order to work on the nasal tip domes. Next, once the skin has been lifted, Dr. Solomon may use a scalpel to shave down any excess cartilage. The bony component of the bridge will then be brought down using a surgical apparatus called a oseteotome.

Dr. Solomon will then check to ensure that the new profile line is where it should be, and he may then proceed to further smooth out the edges using a bone file. This method, known in the field as “rasping” allows Dr. Solomon to fine tune the height of the nasal bridge and ensure that no sharp bone edges are left. Such edges may disrupt the outward appearance of the nasal bridge and should be avoided at all costs. The goal is always to reshape while ensuring and maintainting a clear nasal airway.

A secondary inspection of the bridge will then be performed in order to ensure an immaculate result. In the event that the patient has a problem with a deviated septum, Dr. Solomon may dichotomize the medial crura that make up the nasal tip columella. By doing so, he will have access to septum’s frontal edge allowing him to perform a septoplasty. A septoplasty is performed by elevating the mucosa or the internal skin lining off of the septum.

As can be seen, the total needs of the patient are taken into account. If more than one surgical procedure is required to make a transition, Rhinoplasty is often done first and can be done in conjunction with lip augmentation and injectable fillers. Many patients find that this approach provides a significant enhancement to their looks early in their transition. As their transition progresses, patients may then choose to pursue laryngeal shave and finally, larger procedures like forehead reshaping.

Learn more about other Toronto transgender surgery alternatives: chin and cheek augmentation, brow reduction, brow lifting, blepharoplasty, facelift, laryngeal shave and laser hair removal, are just some of the procedures available..

What To Expect During Transgender Rhinoplasty

The Rhinoplasty takes place in hospital and is usually done under general anesthesia, taking 1 ½ to 2 hours to complete. Since the surgery is performed under general anesthesia you will not be aware of what is happening and will be perfectly comfortable and pain free throughout the entire surgical procedure. Depending on the size and shape of your nose, Dr. Solomon may shape and reposition the nasal bones, reduce the size of the bridge and slightly lift up the nose tip to create a more feminine look. The incisions are usually made inside the nostrils but even if external incisions are necessary, they will heal with nearly invisible scars.

How Soon Will My Nose Recover?

After the surgery, a splint will be placed beside your nose for a week to ten days to give it support as it heals. In some cases, a light dressing may be placed inside the nostrils if there is any bleeding and then removed the same day or the next day. The internal sutures dissolve and fall out after about two weeks and if they were used, any external sutures will be removed in a follow-up appointment about one week after surgery. Your skin may feel numb after Rhinoplasty Surgery and there may be some bruising or residual swelling, especially in the nasal tip. Dr. Solomon may prescribe painkillers or you may be able to take a non-prescription painkiller, depending on the extent and complexity of the surgical procedure. It is always advisable to follow all after care instructions provided to ensure an uncomplicated and smooth recovery. Dr. Solomon will also be more than happy to follow up on how you are doing post-surgery, and will answer any post-operative questions or concerns you may have.

Computer Imaging Technology

The latest computer imaging technology is used so that you can “try on” your new nose. In other words, computer simulation software that is updated periodically will allow you to visualize how your new custom nose will look on a digital representation of your face.

A Consultation With Dr. Solomon

Contact our office to book a confidential consultation with Dr. Solomon at his Toronto Rhinoplasty and Facial Cosmetic Plastic Surgery Centre. Dr. Solomon’s Nasal and Facial Care Surgery Centre is strongly committed and dedicated to providing patient care. During the consultation, you will be provided with ample time and opportunity to discuss your transgender expectations and concerns in the utmost confidentiality. Dr. Solomon with his artistic touch and an understanding of facial beauty can guide you and ensure your desired functional and aesthetical needs will be taken care of. The consultation is a crucial part of the process as the patient and doctor develop a relationship based on trust and a mutual understanding of a common goal. Dr. Solomon considers the consultation time to be as important as his time in surgery.

Dr. Solomon’s extensive training in a multitude of countries has allowed him to help his patients transition as safely and painlessly as possible. Dr. Solomon will follow up with you for over a year after the initial surgery is completed and any after care appointments or procedures will also be available as needed.

Rhinoplasty, as part of a transition from male to female or female to male, can be very exciting for patients, but can also be stressful as it is a life changing surgery. If you would like to speak to a caring and knowledgeable surgeon contact Dr. Solomon by filling out the contact form or reach out to us by phone as we are more than happy to answer any questions or concerns you may have. They also say that a “picture speaks a thousand words” so feel free to peruse through the before and after gallery to see some of Dr. Solomon’s exemplary work for yourself.

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