Does the doctor or the patient decide what
the final result should look like?
For the most part,
the patient decides, but her desires are tempered by the plastic surgeon
showing what is possible and what is not possible. Here's how I do
it: the patient tells me what she
notices about her nose, what she doesn't like, and what she would like to have changed.
I then tell the
patient what I think can be accomplished, and to what extent. We
discuss any other changes that I recommend, and we bat it back and forth
until we come up with a plan for surgery.
a patient brings photographs of other noses that she likes to the
consultation. That's not particularly helpful, because we can't put
someone else's nose on the patient's face; rather, we can only make
certain changes to the
nose that she already has. Still, it can be interesting to see the
features that the patient finds attractive on other peoples' noses.
surgeons still exist who will not accept input from the patient; they just say that
the doctor is in charge and that his judgment will determine how the nose
will look. You should never ever have surgery by a doctor who works
that way. Your plastic surgeon should carefully listen to, and
address, every one of your concerns about the appearance of your nose.
Another important point
to remember: just because a plastic surgeon appears to understand what you
want in a nose does not mean that he can accomplish those changes in the
operating room. You must see before and after photographs of his
other patients, preferably patients with noses similar to yours, before
hiring him to perform your operation. Go here
for more information on finding a competent plastic surgeon.
to the main FAQ page