Rhinoplasty is considered by almost all plastic surgeons as the most difficult operation that they do. Performing a rhinoplasty operation requires knowing what a nose should look like and how it functions. In my opinion, producing a nose that looks great but you can't breath through is a failed operation. Finding a rhinoplasty surgeon who is trained in the function and aesthetic of the nose is important.
- Find a surgeon who is honest about what they can deliver while maintaining the function of the nose. Often patients want an aesthetic look that would produce a functional problem. It is the job of the surgeon to educate the patient as to what they can deliver and what is appropriate for the patient.
- Find a surgeon who understands what a nose should look like. A nose should fit the age of the person it is on, the ethnicity of the person it is on, the sex of the person it is on, and again, should be functional. What looks good on a male face does not necessarily look good on a female face. What looks good on Maria Carey won't necessarily look good on you.
- Find a surgeon who you are comfortable with. A surgeon can be the absolute best rhinoplasty surgeon in the world, but if you are not comfortable with their bedside manner, you may feel afraid to bring appropriate questions and concerns to them after surgery. This can lead to disasterous results which are often avoidable.
- Find a surgeon who has an appropriate training. Plastic surgeons and facial plastic surgeons are probably your best bet for performing rhinoplasty. Facial plastic surgeons generally have a background as ear, nose, and throat surgeons before specializing in aesthetic surgery. This ENT backgrounds affords them a unique added education in the function as well as the look of the nose. Some still perform sinus surgery so if you are having sinus symptoms, they can often be taken care of at the same time as your nose surgery.
- Determine if your goals are functional or aesthetic or both. Do you have problems breathing out of your nose or are you just wanting a change in the way your nose looks?
- A good surgeon will not be afraid to tell a patient "no" during a consultation. They will also explain all of the risks and benefits of the surgery and understand when patients desire a second or third opinion before pursuing surgery.



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