Sometimes, some physical feature that can be improved may cause depression. In most cases, if the person is stable as per their therapist, there is no contraindication to surgery. I often do Skype consultations or for our out of town patients, almost everything can be done by email prior to seeing the patient for surgery.
If the depression is well controlled, you can proceed with rhinoplasty.
Kenneth Hughes, MD
Los Angeles, CA
As long as your depression is controlled and you have a reasonable expectations your a good candidate for a rhinoplasty. A consultation would be very beneficial for you. Try not to build it up to more than it is (anxiety). You are not agreeing to have anything done by having a consultation, only educating yourself and meeting a surgeon.
Many people have forms of depression or anxiety, and are good candidates for cosmetic surgery, including nose surgery. A person's ability to make an informed, competent decision, and making that decision with the appropriate motivation and expectations are the important issues between a patient and surgeon.
It is worth having a consultation to address these points. Based on the discussion both you and your surgeon can decide if surgery is right for you. I have operated on many people who have depression with good results and satisfied clients - this is a result of good patient selection and education.
Mental status will be always be considered by a responsible surgeon because we all want a satisfied patient after the procedure. It is unlikely depression will be a contraindication, especially for a patient like you because you acknowledge the diagnosis and have been treated for this condition. I would consult with your therapist before doing a cosmetic procedure on you.
Depression in and of itself is not an exclusion for a rhinoplasty procedure. What counts is whether you have your depression under control and that you have realistic expectations from the procedure. That qualifying information can only be acquired during a formal consultation. Your belief that a rhinoplasty will not fix your depression is an encouraging sign for a successful rhinoplasty outcome.