Rhinoplasty is one of the most challenging facial surgeries, as any cosmetic surgeon can tell you. During a nose surgery, surgical skills and delicate artistry are combined – for results that are amazing yet subtle. This careful artistry often eludes all but the very best surgeons.

In a recent article in the Cosmetic Surgery Times, surgeon Robert L. Simons highlights some of the challenges of rhinoplasty, and outlines the 10 most important elements of his own rhinoplasty philosophy.

1. It’s often too easy to overestimate problems with the nose. When you examine your nose closely in the mirror, slight flaws can appear more significant than they actually are.

2. The goal of rhinoplasty is to draw attention to the beauty of your face. Not to the procedure itself. When it comes to this type of surgery, a little can go a long way.

3. Patience after rhinoplasty is always a virtue. It’s not unusual for the final results to take several months or more to appear.

4. Straightening a twisted nose in one attempt is often next to impossible. Many patients retain a slight curvature after the procedure, and may require revision surgery.

5. It’s easy for experienced surgeons to fall into patterns of habit. But since noses come in all shapes and sizes, a one-size-fits-all approach is impossible.

6. Always consider how the nose will look on a smiling face. This is because a smile can change the whole dynamic of your face.

7. Consider the nose from a variety of different angles. But use the base view as the basis of treatment.

8. Take some time to establish a solid doctor-patient relationship. Your surgeon should take a little extra time to talk with you. Sometimes it takes a few minutes during the first consultation, but the results are always worth it down the road.

9. Put technique out of your mind until you diagnose. There many different techniques that cosmetic surgeons can use during rhinoplasty, and which technique is right for you will depend on your nose.

10. Surgeons should always follow up with their patients. It’s important to find out, over the long term, how patients feel about their results. Sometimes it might take revisionary surgery to get the results that you want and deserve.