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To achieve optimal results in Rhinoplasty Corrective rhinoplasty is one of the most commonly performed surgical procedures in cosmetic surgery, but is also one of the procedures that have the greatest risk of patient dissatisfaction in terms of results. The growing concern is largely focused on the psychological reasons to convince patients to undergo expensive nose jobs? The selection criteria that will be followed by surgeons. To this end, various psychological considerations have been established between them, a sentiment arising from the presence of a deformity, or simply a real subjective feeling, the nature and extent of the limitations of the patient's desire to get rid of the deformity, and conflicts arising from the contrast between the subjective ideas of perfection and deformity and what actually can be achieved through surgery. Some patients may? No less attention and rushed to the procedure which is the expression of rhinoplasty surgeon? S experience, skill and aesthetic taste. In part it is true especially for the cosmetic surgeons who have a great sense of aesthetics. The point of view apparently contradictory were addressed with the cooperation and planning of surgery is crucial for optimal results? or a meeting, to the extent possible, the patient? s aesthetic expectations. The interview or pre-operative evaluation of the patient and the surgeon gives the opportunity to discuss different points of view and a base unit as the range of variability compared to expected results and possible complications of a technical process. In the upper part of the process is a careful analysis of the parameters and the proportions of the face that are considered benchmarks for the male and female beauty. Then, the patient must understand that their subjective desires to change their appearance according to their own aesthetics and wishes must meet certain criteria in order to ensure harmony and proportions goal. Most of the time, it is often difficult for the surgeon to explain in terms understandable to the patient, techniques based on concepts specific anatomical references. The use of photographs and illustrations that contribute to mutual understanding. The advent of digital imaging has many advantages in that they are cheaper. Both the surgeon and the patient may be meticulous, because the computer has allowed us to capture, store and catalog pictures and describes the techniques rhinoplasties. They are also versatile and powerful application programs are available to highlight effective surgical alternatives and generally aid in providing reliable results, the data. From the point of view? Clinic? point of view, this technique offers the possibility of producing an image that is very close to reality, in the same light, what? forces? the surgeon to achieve? agree? result. However, the use of this technique, the patient should be informed in detail about the possible results that may differ significantly from the virtual reconstruction. The best thing is to present a wide range of results, including results of second class or standard. On the contrary, the patient must freely express their understanding of the subject and their consent. The general view, as in all plastic surgery procedures, is the fact that patients may be relieved of their psychological distress only if the expected results discussed with the surgeon had been done.