Do Doctors Usually Refuse Your Request for a Nose Job?

Based on your verbiage, you may be a candidate for nose job surgery. Feel free to repost your question with photos.

I may avoid performing nose job surgery for the following reasons:

1) I may not feel comfortable performing the operation.

2)The risks of surgery do not outweigh a non-surgical approach.

3) The patient would be a better candidate for a Non-Surgical Rhinoplasty.

4) The patient has unrealistic expectations.

5) A parent, spouse or significant-other is against surgery.

6) I sense the patient may not be happy after surgery.

That being said, most patients with crooked long noses that have bumps are candidates for Rhinoplasty surgery. You may wish to get a second opinion from another reputable, experienced rhinoplasty surgeon.

Hope this helps.

Dr. Joseph

Jen

Based on your description, you sound like a good candidate for a rhinoplasty - however photographs would be very helpful.  There are several reasons why a good plastic surgeon might refuse to perform a rhinoplasty.  The patient's age is important - some surgeons just don't feel comfortable with younger patients.  The severity of the deformity is another reason - if the deformities are minor a doctor may recommend against a rhinoplasty.  The patient's emotional state or stability - the rhinoplasty surgeon my feel the patient has unrealistic expectations or is emotionally unstable.  Finally, not all facial plastic surgeons or plastic surgeons are comfortable performing rhinoplasty.  In my experience, there are only a few of us who really enjoy, specialize and make rhinoplasty a major part of our practice.  If you have not done so already, consider getting a second opinion.

In cases where expectations cannot be met or underlying medical issues are of great concern, a doctor should refuse to perform surgery on a patient.