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4. Rhinoplasty
Not only do men have larger noses in every aspect, but the angle of the nose also varies between the sexes. Most guys have a hump on the bridge, whereas ladies have a concave curve. Dr. Spiegel uses classic reduction rhinoplasty techniques to create a more feminine nose with an upturned tip. "You need to change the shape of the nostrils so that the nose has a feminine appearance, and I make the nose much smaller."
5. Cheek Implants
Women tend to have more prominent cheekbones that give a three-dimensional fullness to the face. So to emphasize a transgender client's flatter cheeks, Dr. Spiegel adds implants, fillers, or fat grafts from other parts of the body. Plumping the cheek in this way also bounces light into the eye, making the entire face appear more attractive. It's the same strategy women use when they apply highlighter to their cheekbones.