Am I a Good Candidate
Is Rhinoplasty a Procedure For Me?
Most people wonder about this question: "Am I a good candidate?". In general, to rationally consider having a rhinoplasty, you should have a nose that is less than ideal prior to rhinoplasty in order to expect a positive change. Theorectically, the further that your nose is from the ideal the more likely you will be a better candidate. The closer you are to the ideal nose, would make having a rhinoplasty relatively more of a risk. This is a general way to think about whether a rhinoplasty is a good idea for you from an Anatomical perspective. There are a lot of other ways to consider this question and we'll go over it below.
Psychologically, am I a good candidate? There are 2 questions that can help this. Lets say for instance that a defect | deformity | anatomical state can be rated on a scale of 1 to 5, where 1 is the smallest degree of a defect and 5 is the largest degree of a defect. The first question would be what would the actual deformity be rated. The second question is what the patient would subjectively rate the deformity. To judge whether this person would be a good candidate, if the actual deformity is a 3 and the patient's subjective judgement of it is also a 3, they would be an average candidate. If the actual deformity is a 1 and the patient's perspective it is a 5, they would be the worst candidate. If the actual deformity is a 5 and the patient felt it was a 1, they would be the best candidate. There is a well know graph or diagram called the Gorney Diagram that explains this relation. Your plastic surgeon will assess whether you are a candidate from a Psychological Perspective.
From a Medical Standpoint, The better the health you are the better you will be a candidate. The American Society of Anesthesiologists classifies patients into five classes. ASA 1: is a normal healthy patient, non smoking, and minimal alcohol use. ASA 2: A patient with mild systemic disease without substantive functional limitations. current smoker, social alcoholic drinker, pregnancy, obesity (BM 30-40), well controlled Diabetes and Hypertension, mild lung disease. ASA 3: A patient with severe sysmetic disease with substantial functional limitations. 1 or more severe disease including but not limited to poorly controlled Diabetes, Hypertension (High Blood Pressure), Chronic Pulmonary Disease, Obesity BMI >40, Active Hepatitis, Alcohol Dependence or abuse, Implanted pacemaker, End Stage Renal Disease, History (greater than 3 months) Heart Attack (MI), Stroke (CVA), Stroke, Cardiovascular Stents. ASA 4: A patient with severe systemic disease that is a constant threat to life. This patient will have those same events within the last 3 months (MI, CVA, Stents, etc). They will have ongoing cardiac ischemia or chest pain, severed reduction of ejection fraction, sepsis, disseminated intravascular coagulation, etc. ASA 5: A patient that is not expected to survive without the operation. Based on this criteria, we usually require that you are class 3 or better. With any previous conditions we will request and obtain a medical risk assessment from your primary care doctor and specialists that are taking care of you. Also any person that is over 50 we automatically do this or someone over 40 with mild disease. Based on this we will determine if you are a candidate for a procedure. Usually is you are Class 3 or better you will likely be a good candidate depending on other doctors opinions.