#Masculine contour series
4,5 Naini et al 6-8 have published a series of quantitative studies on manipulating various cephalometric angles in 2-dimensional silhouettes, including the nasofacial, nasofrontal, and mentolabial angles and their association with perceived attractiveness. 2,3 Existing guidance for nasal dorsal modification in male rhinoplasty is often shared from the cumulative descriptive experience of senior rhinoplasty surgeons with a lifetime of career expertise. The specific role of nasal dorsal modification and its association with gender-specific rhinoplasty has been widely discussed, 1,2 especially for female and feminizing rhinoplasty.
Meaning This study’s results may potentially better inform rhinoplasty surgeons and their male patients on how changes to the nasal dorsal contour may not only affect the overall perception of a man’s social attributes, but also perception by observers’ sociodemographics. Subset analyses also revealed statistically significant dorsal contour preferences by observers’ gender and age. Question What are the social perception consequences of male rhinoplasty when specific modifications of the male nasal dorsal contour are carried out?įindings In this web-based survey study of 503 participants featuring 12 computer-simulated nasal dorsal contours of a male volunteer, the man in the photograph featuring the nose with the ski slope dorsal shape, nasofrontal angle of 130°, and nasolabial angle of 97° was deemed most attractive this profile was also among the most frequently selected for other positive characteristics. Subset analyses also revealed statistically significant dorsal contour preferences by observers’ age, gender, and race/ethnicity. The man with a dorsal hump–shaped nose with an NFA of 140° and NLA of 105° was associated by the highest proportion of participants with being the oldest (95% CI, 35%-44% P < .001), least approachable (95% CI, 27%-35% P < .001), least attractive (95% CI, 37%-42% P < .001), and least healthy (95% CI, 26%-34% P < .001).
Participants also often associated superlative youth (95% CI, 15%-24% P < .001), approachability (95% CI, 13%-20% P = .002), and femininity (95% CI, 14%-22% P < .001) with dorsal contours that did not feature a dorsal hump. The man with ski slope–shaped nose with an NFA of 130° and NLA of 97° was often associated with frequently perceived positive characteristics specifically, he was judged to be the most attractive (95% CI, 18%-26% P < .001). Of 503 respondents (survey provision rate, 100%), 412 (81.9%) were women, 386 (76.7%) were white, 32 (6.4%) were Hispanic or Latinx, 63 (12.5%) were black/African American, 10 (2.0%) were Asian/Pacific Islander, and the median age was 46 years (interquartile range, 32-61 years).