In no other plastic surgery, patient selection and preoperative preparation are not so important. The patient’s self-image and motivation should be thoroughly evaluated. The aesthetic surgeon should try to anticipate the patient’s response to the operation and the resulting contour change, and prepare the patient. Before the operation, the patient should be told that the thickness of the nasal bones, the advanced curve of the septum, and the adaptation of the thick and non-elastic skin to the bone and cartilage structure are difficult.
Most importantly, it should be repeatedly reminded that there will be a waiting period of 6-12 months to see a new nasal shape that patients will see immediately after the operation. As a medicolegal preparation, the patient should be photographed at least in 6 directions before the operation.