Evidence map›Paper›PMID 41894224›Full record

SynthesisAesthetic surgery journal2026

Nasal Aesthetic Preferences Across Populations: A Systematic Review of Cultural, Ethnic, and Generational Trends.

Hamid Reza Khademi Mansour, Ali Malik, Alexander S North, Anil Joshi

Abstract readSystematic Review
In one paragraph

Synthesis in Aesthetic surgery journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Hamid Reza Khademi Mansour
Ali Malik
Alexander S North
Anil Joshi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nasal aesthetics are central to rhinoplasty outcomes, yet ideals of beauty vary considerably across cultures, ethnicities, and generations. Current evidence is fragmented, often Eurocentric, and lacks a comprehensive synthesis. This systematic review aimed to evaluate nasal aesthetic preferences and their implications for clinical practice. The protocol was prospectively registered on PROSPERO (CRD420251009102). Systematic searches of PubMed, Embase, Web of Science, and PsycINFO were conducted from inception to June 2025. Eligible studies assessed nasal aesthetic preferences in adult (≥18 years) populations. The Newcastle-Ottawa Scale (NOS), NOS-xs, Grading of Recommendations, Assessment, Development and Evaluations, and Appraisal tool for Cross-Sectional Studies tools were used to guide critical appraisal, and findings were synthesized narratively. A total of 2881 records were screened, yielding 31 studies with 25,382 respondents. Preferences demonstrated marked regional variation: North American Caucasians favored a slight dorsal scoop with mild underprojection, whereas East Asian/Middle Eastern groups preferred a straight dorsum with more obtuse nasolabial angles. Chinese cohorts most frequently selected radix positions at the pupil, Japanese studies reported stable nasofacial angles of 30° to 33°, and Syrian findings converged around ∼31°. Generational trends indicated Millennials and Generation Z favored longer, straighter noses with augmented radix and reduced rotation. Across populations, overall facial harmony was consistently prioritized over isolated measurements. Notable contradictions and the underrepresentation of Black populations highlighted key limitations. Nasal aesthetic preferences are dynamic and context dependent. Surgeons should adopt a personalized, culturally sensitive approach to rhinoplasty, prioritizing timeless harmony over transient fashions. Future research must expand inclusivity, employ standardized measurement tools, and leverage emerging technologies to track evolving ideals and assess psychosocial outcomes. Level of Evidence: 3 (Therapeutic).

Indexed as

EstheticsEthnicityNosePatient PreferenceRhinoplastyHumans

Identifiers

PMID41894224
PMCPMC13458594

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.