Keep in mind that this operation is for you.  Though a good result may have a pleasing effect on a spouse, friend, or employer, do not expect praise or notice from everyone. You are not doing it for them.  They are not paying the fees and incurring the minor inconveniences and risks of surgery. If the changes are more subtle than dramatic, other people may not even notice. Your friends might not be as observant as you are.  Cosmetic surgery that is undertaken with the purpose of affecting others nearly always fails to produce the desired results.

Remember that the goal is improvement, not perfection. Strive to look as good as you can for your age, not to look twenty years younger than you are. The patient most pleased with surgery is the one whose expectations are realistic and whose motivations are internal; you should want to feel better about yourself.

Improvement in the appearance of the face can also enhance self-esteem, imparting a psychological benefit that cannot be measured in a photograph.