I schedule an hour of my consultation time for a Rhinoplasty, but the visit takes much longer.The patient should have already spoken to my PA a couple of times, to get an idea bout the expected fees and the operation in general, and be directed to links on the Internet to see some examples of my work.Before they see me, they spend about 15 minutes on an I-pad going through an "album" I prepared.Then they see me.We talk about the problems with their nose - blockage, sinuses, hay fever, general health, their work and family situation, and I examine the inside of their nose, including nasendoscopy, and then talk about the issues they don't like about their nasal shape. I might order a CT scan.If they have had previous surgery I try to get information about it.I then show them photos of patients with similar nasal problems, explain the steps in Rhinoplasty , the limitations - what can be done, what can't be done. I don't just show them the perfect results, as they need to realise that not all noses end up beautiful.I take their photos.Then, if their nose is suitable, I do a "computer-imaging" plan of the expected profile view, and they decide if they want it smaller, larger etc - and I tell them if that is achievable (I email them those plans).I explain the GA, the night in hospital, the cast, the post-op care, the time off work, and answer a myriad questions.My PA then talks to them about fees.Some patients make a 2nd appointment, either in person or by phone or Facetime, many call my office with more questions, some book surgery then, or later, and some patients go elsewhere.