The Angry Face Syndrome

Updated 3/2017-- photos and all links (except to my own posts) removed as many no longer active. 

I must say when I first read the title of this article (full reference below) I thought it was a joke. Apparently, I was just unaware this syndrome exist.

The authors state, “The finding of frontal bossing, deep radix, straight nasal dorsum, and an over projection of the nasal tip constitutes the angry face syndrome.” (photo credit, from article)

The authors note, “When the syndrome components of frontal bossing, a deep radix, and nasal tip projection are present but include a significant nasal dorsal hump (instead of a straight dorsum), the angry face syndrome does not apply. Somehow the dorsal hump negates the message of anger to the observer.”

Their solution is a rhinoplasty

with attention to a major radix augmentation graft and substantial reduction of the nasal tip projection. In addition, as with the illustrative cases described herein (Figures 1, 2, and 3), we also correct other offending features at the same time (eg, dependent nasal tip, boxy tip, poor alar support, alar base width, wide nasal bones).

Their conclusion:

In all of our years of teaching rhinoplasty, we have always maintained that in considering surgery, the patient must understand that nothing in the external world will change because the of the patient's rhinoplasty. The only thing that will change is the way the patient feels about himself or herself, ie, their self-esteem.

Rhinoplasty for the angry face syndrome, however, may be the exception to the rule.

REFERENCE
The Angry Face Syndrome; Pastorek NJ, White WM; Arch Facial Plast Surg 2011;13(2):131-133; doi:10.1001/archfacial.2011.14