الفهرس 
Patient counseling and QuestionnaireOnly 14 pages are availabe for public view
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Abstract
Summary
The nose is a pivotal part of a person’s appearance, and especially the
facial profile. If it appears too large, crooked or lumpy it can detract from
the rest of the overall picture. This can be due to your genetics, or a knock
as a child or during sports. Additionally, a nose that does not breathe well
can be a source of discomfort for both the patient and his or her partner.
A nose not only needs to look in proportion to the face and ethnic
features, but it needs to function efficiently as well.
Rhinoplasty is an operation to change the shape of the nose. There is no
”standard nose” - exactly what can be accomplished varies with every
case. Changes can be made to the bridge of the nose, the tip or the nostrils.
These can be done together, but the more complex the procedure, the less
predictable the result.
Nose surgery is a highly individualized procedure and the patient
should do it for himself, not to fulfill someone else’s desires or try to fit
any sort of ideal image.
Rhinoplasty patients are in a category by themselves and should be
evaluated with the utmost care. It is expected to improve the quality of life
of the patient by boosting self esteem and reducing social anxiety, granted
that a patient is evaluated as a “good candidate” or a “low-risk” patient,
sometimes indicated by the acronym SYLVIA (secure, young, listens,
verbal, intelligent, attractive), however, if patients do not exhibit these
qualities and instead tend to align more with another type of patient group,
for instance male patients referred to by the acronym SIMON (single,
immature, male, overexpectant or obsessive, narcissistic), this type of
surgery should at the very least be reconsidered, and most likely avoided,
if the patient is evaluated as a “highrisk” surgical candidate.
Summary
Summary
The nose is a pivotal part of a person’s appearance, and especially the
facial profile. If it appears too large, crooked or lumpy it can detract from
the rest of the overall picture. This can be due to your genetics, or a knock
as a child or during sports. Additionally, a nose that does not breathe well
can be a source of discomfort for both the patient and his or her partner.
A nose not only needs to look in proportion to the face and ethnic
features, but it needs to function efficiently as well.
Rhinoplasty is an operation to change the shape of the nose. There is no
”standard nose” - exactly what can be accomplished varies with every
case. Changes can be made to the bridge of the nose, the tip or the nostrils.
These can be done together, but the more complex the procedure, the less
predictable the result.
Nose surgery is a highly individualized procedure and the patient
should do it for himself, not to fulfill someone else’s desires or try to fit
any sort of ideal image.
Rhinoplasty patients are in a category by themselves and should be
evaluated with the utmost care. It is expected to improve the quality of life
of the patient by boosting self esteem and reducing social anxiety, granted
that a patient is evaluated as a “good candidate” or a “low-risk” patient,
sometimes indicated by the acronym SYLVIA (secure, young, listens,
verbal, intelligent, attractive), however, if patients do not exhibit these
qualities and instead tend to align more with another type of patient group,
for instance male patients referred to by the acronym SIMON (single,
immature, male, overexpectant or obsessive, narcissistic), this type of
surgery should at the very least be reconsidered, and most likely avoided,
if the patient is evaluated as a “highrisk” surgical candidate.
Summary
Validated patient questionnaire is a good way to identify the vulnerable
patient and whether to accept or reject to operate.
It is crucial that the patient’s expectation of the result of rhinoplasty be
realistic. Setting appropriate expectations is a pivotal factor in having
happy postoperative rhinoplasty patients. Prospective patients must
understand three facts:
• There is no perfect nose.
• The expectation must be improvement and cannot be perfection.
• The degree of improvement cannot be absolutely Predicted.
The assessment of the result by patient and surgeon can sometimes bedifferent. Legal consequences may be named a “typical complication” of
rhinoplasty, so Informed consent is an important part of preparing the
patient for surgery and plenty of time should be set aside for it in the initial
consultation. The surgeon will discuss the procedure including its risks and
potential outcomes with the patient in detail. It is especially important to
get specific consent for harvesting grafts from other sites of the body
(e.g., ear, rib) and placing implants (e.g., synthetics, homograft rib) if
applicable. Patients must understand that problems may arise
postoperatively, and they must be assured that the surgeon will stand by
them and help them if there are difficulties. They must also understand that
there may be a need for revision surgery in the future. If the case is a
revision surgery, the patient should understand that the chance of requiringfurther revision is usually higher than in a primary case.