Gender-affirming nose reshaping for natural facial harmony
The nose sits at the centre of the face and profoundly influences how gender is perceived. Gender-affirming rhinoplasty goes beyond conventional cosmetic nose surgery — it reshapes the nose within the context of your transition goals, whether that means softening and refining for a more feminine profile or strengthening and projecting for a more masculine one. The result is a nose that complements your evolving features and feels unmistakably you.
Gender-affirming rhinoplasty adapts standard rhinoplasty techniques to address the specific features that contribute to the gendered perception of the nose. In feminizing rhinoplasty, the goals typically include narrowing the bridge, reducing a dorsal hump, refining and rotating the nasal tip upward, and reducing overall nasal size. In masculinizing rhinoplasty, the surgeon may straighten or widen the bridge, strengthen the tip projection, and maintain or increase dorsal height to create a more angular profile.
The procedure is carefully planned in the context of other facial features — particularly the forehead, cheeks, and chin — to ensure the nose contributes to a cohesive, gender-congruent appearance. Our partner surgeons have extensive experience in gender-affirming nasal surgery and understand the subtle differences that distinguish a feminine nose from a masculine one.
A detailed consultation covers your nasal anatomy, including skin thickness, cartilage strength, bone width, and tip support. The approach is selected based on the complexity of the changes required and whether the rhinoplasty is being performed alongside other procedures. Gender-affirming rhinoplasty requires an understanding of the nuanced differences in nasal proportion between masculine and feminine norms, and the surgical plan reflects your unique goals.
Two primary surgical approaches are available:
A small incision across the columella (the tissue between the nostrils) allows the surgeon to lift the nasal skin and work with full visibility of the cartilage and bone framework. This approach is preferred for more complex reshaping, including significant tip refinement, grafting, and structural modification.
All incisions are hidden inside the nostrils, with no external cuts. The surgeon works through the nasal openings to reshape bone and cartilage. This approach is well suited for less extensive modifications such as hump reduction or subtle bridge narrowing.
Swelling and bruising concentrate around the nose and under the eyes during the first few days. A nasal splint is applied to protect and support the new shape. You may feel congested and need to breathe through your mouth initially. Your care coordinator will check in daily and ensure you are comfortable at your hotel.
Your nasal splint is removed at a follow-up appointment, revealing the initial new shape. Most bruising has faded by this point. Swelling is still present but improving daily. You will begin to see the refined contour, though the nose will continue to evolve over the coming weeks and months.
Swelling subsides progressively and the nose settles into a more defined shape. You can resume light activities, work, and social engagements. Avoid contact sports, heavy lifting, and anything that risks impact to the nose. Glasses should be kept off the bridge during this period.
The refined nose emerges as deep tissue swelling resolves and the nasal skin redrapes over the new framework. Tip definition continues to sharpen for up to a year, particularly in patients with thicker skin. Most patients see 80–90% of the outcome by three months, with subtle changes continuing.
Rhinoplasty is one of the most commonly performed cosmetic procedures worldwide and has an excellent safety profile. As with all surgery, however, it carries certain risks that you should be aware of before proceeding.
The nose is a complex three-dimensional structure, and gender-affirming rhinoplasty requires balancing aesthetic goals with functional integrity. A thorough assessment of your nasal anatomy, including skin thickness, cartilage strength, and airway, is completed before surgery, and every relevant risk is discussed before you confirm your surgical plan.
Our pricing is transparent and all-inclusive — your quote covers everything from surgeon fees to hospital stay.
Everything you need to know before your procedure
Gender Affirmation Surgeon · Bangkok
Last reviewed: February 25, 2026
Medical disclaimer: Content on this site is provided for informational purposes and should not be treated as medical advice. Outcomes, timelines, and eligibility differ from person to person. Speak with an experienced gender-affirming surgeon before proceeding with any procedure.
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