Do Doctors Usually Refuse Your Request for a Nose Job?

So, I have really been considering getting a nose job for a long time now. I consider my nose to be crooked/leaning to one side, it has a bump in the middle, and I would like to have the length reduced. Do doctors usually deny the patient surgery if he/she thinks its not that bad? because I would really like to get these things fixed, but they might not be considered dramatic problems.

Doctor Answers 16

Refusal to do Rhinoplasty?

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The simple answer to your question is "yes".  Some patients are not appropriate candidates for physiologic issues (active heart problems), for psychological reasons (unreasonable expectations, body dysmorphia), and for anatomical reasons (good nasal aesthetics that cannot be improved on).  However, it is up to the Rhinoplasty Surgeon to make the decision on whether to proceed or not.  A number of poor celebrity Rhinoplasty results bear witness to the fact that an individual will probably find a Surgeon to do their procedure, regardless of the quality of the indications.

Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 103 reviews

Considering a Rhinoplasty

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The main goal of any cosmetic surgery, including a nose job, is to improve the patient’s self-image and self-confidence. Of course, a sincere surgeon will be completely honest during his or her evaluation of whether or not to proceed with your nose job. He or she should be on the same page as you are, working to make your vision a reality while comforting and encouraging you at every step along the way. Generally speaking, if you are hoping to change the size, shape, or form of your nose through surgery, your surgeon should be willing to work toward this common goal within reasonable range.

Consultation Appointment with Rhinoplasty Surgeon

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Your consultation appointment is typically your one-on-one time with the surgeon to determine whether or not a nose job is a viable option to consider. During this time, you should stress any concerns and ask any questions about the surgery, and should relate all medical conditions to your doctor. Together, you will be able to determine whether or not a rhinoplasty is in your future, and can construct a plan that best suits your goals and needs. It is, still, possible that your surgeon “refuses” your request for the surgery based on medical or personal considerations. A good, respectable surgeon will always be honest about if a nose job is right for you, and will be sure to produce the most natural results should you decide to move forward. 

Sam Rizk, MD
New York Facial Plastic Surgeon
4.7 out of 5 stars 79 reviews

Circumstances when a doctor will deny a patient a nose job

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If the patient has enough issues with the nose that can be improved with elective surgery, has realistic expectations, and is emotionally and physically ready for the surgery, then it is acceptable to undergo the rhinoplasty procedure.  On occasion when a patient has medical or psychological issues, a surgeon will deny the patient surgery if they do not think the patient is fit to undergo the procedure.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Do Doctors Usually Refuse Your Request for a Nose Job?

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  Plastic and Cosmetic Surgeons do turn people away and decline to perform surgery, including Rhinoplasty, for a variety of reasons which include unrealistic expectations and others.  If you're interested in improving the shape of your nose, have several consultation to learn about what can and can't be done to your nose and then decide.  Be sure that the Rhinoplasty Surgeon understands and follows the proper aesthetics of facial (and nasal) beauty for the creation of a naturally, more attractive nose. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Request for nose job

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It is very difficult to answer your question without seeing your pictures – you should consider posting images showing your areas of concern.  Perhaps the surgeon may feel that the problem is not as severe as you perceive to be

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Not every patient that requests Rhinoplasty Surgery is a candidate for surgery.

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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

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

Rhinoplasty issues

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I think the first thing you should do is go for a consultation. If the surgeon thinks that he can improve your nasal issues then he will probably suggest surgical options to achieve your goals.  Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Good candidates for rhinoplasty

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Most patients who we see for rhinoplasty are good candidates for the procedure.  These are typically people who are in good health, have realistic expectations, and do not have significant risk factors for complications.  People who would not be acceptable candidates are those who have expectations that would not be achievable through the surgery or are over critical of minor deformities and obsess over them.  Certainly anyone who is in poor health and is at risk for severe complications would be excluded from surgery.  Patients who have certain mental health problems are also not  candidates for cosmetic surgery.  

From your own description of what you want to accomplish it would appear that you meet all the requirements for being a good candidate for rhinoplasty.

Robert M. Jensen, MD
Medford Plastic Surgeon
4.8 out of 5 stars 46 reviews

It depends

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Not everyone is a good candidate for a rhinoplasty. The #1 ethos is to do no harm. So if you have medical problems that would make an cosmetic elective surgery risky then it is not worth it in my opinion. I only recommend surgery if the patient seems to understand and accept the limitations of the procedure. The more minimal the changes desired, the less likely the patient's needs the surgery or will be happy with the result. Ultimately if a patient has reasonable expectations then it should be able to be done. Preoperative imaging can help to make sure you and your surgeon have the same thought process in mind.  

Samson Lee, MD
Seattle Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.