The demand for aesthetic surgery continues to grow, and an objective means of assessing the patient is required. Proper patient selection and facial analysis is very important before attempting the operation of Rhinoplasty.
First and foremost the surgeon must understand the motivation of the patient. The patient may mask their true desires, applying a fake reason for surgery. Occasionally, the patient suffers from a psychiatric illness.
The goals of aesthetic surgery are a satisfied patient and surgeon. There should be a rapport between the surgeon and patient. Discuss the details and explain the chances of having improvement.
Unrealistic expectation- step ladder principle
One cannot climb more than one step at a time. One cannot make an ugly nose to a very beautiful Nose. The nose ladder is ugly, bad, normal, and pretty, very pretty. One cannot make an ugly nose to very pretty. Often patient has some cine star type nose in their mind and if they don’t achieve that they get depressed.
It is important to have several views of preoperative digital images of face and nose views. This will be useful after surgery to evaluate the result.
Preventing patient dissatisfaction depends upon proper patient selection. Any patient that makes the surgeon uncomfortable should at the minimum have surgery delayed, and perhaps referred for psychiatric evaluation. The most commonly diagnosed psychological conditions which should make the surgeon concerned include: neurotic disorders, personality disorders, psychotic disorders, and depression/mania.
Cosmetic surgery is not a game. It should be taken seriously by both patient and surgeon alike.
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