Rhinoplasty is often one of the most transformative procedures for individuals undergoing gender transition. As the nose sits at the center of the face, even subtle changes in its shape and structure can have a dramatic impact on overall facial harmony. For many patients, transgender rhinoplasty plays a crucial role in facial feminization, helping align their appearance with their gender identity.
Dr. Ali Totonchi is a board certified plastic and reconstructive surgeon with extensive experience performing gender-affirming rhinoplasty. Serving patients in Cleveland, Westlake, and beyond, Dr. Totonchi approaches transgender rhinoplasty with expertise, precision, and sensitivity to each patient’s unique transition goals.
What Is Transgender Rhinoplasty?
Transgender rhinoplasty refers to nose surgery performed as part of a male-to-female (MTF) transition. The procedure is customized to create more traditionally feminine or masculine nasal features, depending on the patient’s desired outcome. Unlike standard cosmetic rhinoplasty, transgender rhinoplasty is often part of a larger facial feminization or masculinization plan and takes into account overall facial proportions, structure, and identity.
This procedure can be performed on patients of any gender identity who wish to reshape their nose to better reflect how they feel inside and how they want to be seen.
Feminizing Rhinoplasty (MTF)
Feminizing rhinoplasty softens the nasal features typically associated with a male face. Male noses are often characterized by a stronger brow bone, wider nostrils, a prominent dorsal hump, and a downward-angled nasal tip.
Dr. Totonchi’s approach to nasal feminization may include:
- Reducing or smoothing the dorsal ridge (bridge of the nose)
- Narrowing the width of the nasal bones and nostrils
- Elevating and refining the nasal tip for a more delicate, upward projection
- Reshaping the nose to better complement other feminization procedures
Feminizination rhinoplasty is often combined with forehead contouring, brow lift, lip shortening, or cheek augmentation to create a harmonious, softer facial profile.
What to Expect from Recovery and Results
Recovery from transgender rhinoplasty typically involves:
- Wearing a nasal splint usually for 2 weeks
- Swelling and mild bruising around the nose and eyes
- Gradual improvement in breathing and nasal function
- Visible results beginning in 2–4 weeks, with final contour settling over 6–12 months
Most patients can return to non-strenuous activities within 10–14 days. Dr. Totonchi provides personalized recovery guidelines and schedules regular follow-up visits to monitor healing and ensure optimal results.
Why Choose Dr. Totonchi for Transgender Rhinoplasty?
Dr. Totonchi is committed to providing gender-affirming care in a respectful and inclusive environment. With double board certification and a focus on facial anatomy, he combines technical skill with aesthetic sensitivity to deliver balanced, natural-looking outcomes. His approach is highly individualized, taking time to understand each patient’s goals and provide guidance based on what is both possible and beneficial.
Patients travel from across Ohio and beyond to work with Dr. Totonchi, trusting his expertise and compassionate care throughout their transition journey.
Schedule Your Consultation
Whether you are interested in nasal feminization, masculinization, or combination facial procedures, Dr. Totonchi can help you achieve a nose that supports your identity and enhances your appearance. Contact us at (440) 461-7999 to schedule your private consultation in Cleveland or Westlake.
