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A nose is just a nose, except when it isn’t city, state


righ side profile of a young woman with dark hair

Over the years, plastic surgeons and other physicians and scientists interested in aesthetics have explored the “ideal proportions” of the human face and its features. This has led to myriad schemes for classifying facial types, suggesting courses of treatment, and even planning surgical modifications. More recently, we have begun to focus on facial recognition – using experimental psychology techniques to find out exactly how people recognize each other or assign certain faces to particular groups (e.g., age groups, ethnicities, etc.). Out of this inquiry has come an interesting body of literature regarding facial features that the brain uses as shorthand for gender – how a person can decide on the gender of a face after seeing a single image flashed on a screen for less than a second. This work has determined that the ridge of the brow plays an important role, as well as the prominence of the jaw.

Comparatively less attention has been paid to the size and shape of the nose in aesthetic assessments of masculinity or femininity. Some general rules hold true across studies: smaller noses are considered more feminine; the presence of a dorsal hump (“bump”) is associated with a more masculine nose. Less commonly considered variables include the angle that the nose makes with the upper lip and the forehead (larger angles are generally more feminine). Obviously each nose is presented in the context of the face where it lives, and consideration must be given to the other facial features in any discussion of nose reshaping. The brow, the lower eyelids, and the upper lip form an essential “backdrop” for the contours of the nose. That’s why when I see a consultation for rhinoplasty, we always discuss the nose at it relates to the rest of the face – as well as the patient’s desired aesthetic. This helps in all types of cases, but is especially important in patients seeking ethnic rhinoplasty or nose reshaping to feminize the nose.

For more information about rhinoplasty and surgical or non-surgical rejuvenation of the face and neck, please visit or call 415-550-1077 today for a comprehensive consultation!

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.