Motivation of the patient to perform aesthetic rhinosurgical intervention, topical issues in identifying the true reasons: A review

From time immemorial, people have sought to improve their body and appearance by resorting to various medical, non-drug and surgical interventions. The most advanced direction in this context has been and remains facial cosmetic surgery, which, being a kind of standard that allows you to achieve perfection, encourages people to change their appearance in an operative way, which is not always justified. The most common and sought after desire of people when visiting a plastic surgeon is to change the shape of the nose. The main motive for rhinoplasty is low self-esteem, dissatisfaction with the shape and size of the nose, which, in their opinion, prevents them from achieving success in their personal lives, building a career, etc. As a rule, most of these people are people of ethnic groups who seek to “Europeanize” their nose and face according to modern aesthetic canons, people with dysmorphophobia, young girls and boys. Often there are cases when patients, having not received the desired result, make claims to surgeons and embark on litigation. Therefore, when planning rhinoplasty, it is necessary to find out several important questions: the main psychological reasons that motivated rhinoplasty; whether the patient has mental deviations what are the external influences and internal deviations. Patients presenting with the following features are at high risk and should give surgeons reason to reconsider their rhinoplasty.