In this article the authors discuss the assessment of patients undergoing septorhinoplasty emphasing the importance of psychological assessement in the preoperative work up. Patients motivations, anxieties and expectations are reviewed, key points to help identify problem patients are highlighted and specific questions to identfy those that may be suffering BDD are recommended. Facial proportions and the ideal angles of the facial esthetic triangle are described. A framework is presented to enable systematic analysis and examination of the face and nose to promote appropriate patient selection and facilitate surgical planning.
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