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An Intersectional Examination of How Class, Marital Status, and Age Shape Discrimination Among Black Women Who Are Postpartum.

Authors: Haight SC, Sheffield-Abdullah K, Daye A, Blades K, Teal EN
Journal: Journal of midwifery & women's health
mental health psychology open access

Abstract

Rhinoplasty is among the most commonly performed procedures in facial plastic surgery, sought for both functional improvement and to refine nasal appearance in accordance with prevailing aesthetic ideals. Although septoplasty addresses functional deficits such as nasal obstruction, aesthetic rhinoplasty engages with more complex determinants of facial harmony, including dorsal contour, top rotation, projection, refinement, and the overall balance of the individual patient's face. These features are neither static nor universal; they are shaped by sociocultural contexts, reflecting variations in identity, gender expression, and regional beauty norms. Thus, the nose holds cosmetic and psychosocial importance, with perceived disharmony linked to reduced self-esteem, body image concerns, and, in severe cases, body dysmorphic disorder. The nose occupies a central anatomical position on the face, making it a key determinant of both self-perception and external judgment. Cultural norms, historical aesthetic paradigms, and media representation shape individual/collective ideals of nasal beauty. Yet these ideals are very heterogeneous: for instance, although some populations prefer a high dorsum and narrow base, others value broader bridges or softer contours. These divergent preferences are increasingly relevant in an era of globalization and ethnic diversity, where patients routinely seek procedures that enhance rather than erase ethnic features. As such, rhinoplasty goals should be seen not as universal standards but as personal constructs shaped by culture, age, gender, and professional insight. Despite growing recognition of this complexity, the literature on nasal aesthetic preferences remains fragmented and disproportionately representative of Eurocentric standards. Although various studies have explored population-specific preferences, no comprehensive synthesis currently maps global trends. This gap may lead to clinical decisions based on limited heuristics, misaligning outcomes with patient expectations.