The ideal nose: changing concepts in plastic surgery.

This paper discusses the strong motivation of patients requesting cosmetic surgery to their nose and outlines the plastic surgeon's approach to the assessment of these patients. The indications for nasal surgery are discussed, including psychological assessment before operation. Age considerations are reviewed. The reduction rhinoplasty operation is briefly outlined, emphasizing its adaptability to a great variety of nasal deformities. Criteria are given for planning a nose that will be harmonious with the face. The reduction in morbidity and improved results presently being obtained are stressed.