![]() Likewise, many young surgeons believe they must “sell” their abilities. The objective of the consultation in their eyes is to determine if we are the right surgeons for them. While they may not have decided on the surgeon or on an exact procedure, most patients have already taken the leap and decided to have surgery before they visit us. They understand, though, that surgery is the step that must be taken to reach their desired level of self-fulfillment. Most rational, healthy people do not actually want to have surgery. They do not really “need” us but they simultaneously hope we have something to offer them that will satisfy one of their most basic desires-to feel valued by themselves and by others. Patients choose our services based on so many real and intangible factors. It will also elucidate the warning signs that herald the potential for a maladaptive response to surgery and an unsatisfying situation for both the patient and surgeon. This chapter will attempt to encapsulate some of the most useful aphorisms a cosmetic facial plastic surgeon would do well to keep in his or her breast pocket at all times. Recognition of this fact is a critical component underpinning all that we do. ![]() A patient’s happiness has to do with so much more than just the technical proficiency and the surgical result. Aesthetic surgery, more than almost any other branch of medicine short of psychiatry, is really a study of human relations. Few surgeons, especially neophytes, jump to the topic of this chapter with enthusiasm, yet psychology is as germane to a successful rhinoplasty practice as is any other topic in this book, if not more so. Of course, what interests the young surgeon is to be technically excellent and to master the latest in techniques. The true value in having completed a fellowship is in acquiring a lifetime of lessons in what really matters to a cosmetic practice. Every new facial plastic surgeon is eager to make his or her mark and to put into practice his or her numerous years of training, although, in truth, the real education is only just beginning. Starting a practice in cosmetic facial surgery is daunting.
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