It’s during your rhinoplasty consult; the bond between you and your surgeon develop. Take your time to express all your concerns. Remember you’ve waited long time to have this decision. My belief is that planning for a successful Rhinoplasty Surgery starts with a productive Rhinoplasty Consult. The patient motives, whether functional or aesthetic, must be evaluated carefully. Patient’s goals and expectations for the surgical outcomes should be known. A productive rhinoplasty consult results from the surgeon’s ability to listen carefully for the patient and from the patient’s ability to freely address their concerns. Most of the time patients know exactly what they don’t like about their noses and what they want to be done. At this time, it’s the surgeon role to honestly discuss with the patients their concerns. Giving them all the probabilities of what might be achieved and what might not be possible. Sometimes patients come to their consult without having a clear idea about what they want to change and how they want to look like after the surgery. They just ask for a ’better looking nose’. For this type of patients it’s the surgeon’s sole responsibility to guide them to figure out what could be the problem and give them his expectations.