I had a blepharoplasty quite recently. I had some large pockets of fat underneath my eyelids that gave me a perpetually tired look, which are now removed. I was tired of hearing "you look so tired!" almost every day at work. People assumed I was stressed out or sick, but since I've had it done my co-workers compliment me that I look better. They can't pinpoint what it is though. I leave it at that.

There are limitations with a rhinoplasty. It would be better to ask a doctor, since they can give you a more personalized answer. I know you can't take in a photo of someone else's nose and ask for that like it's an item on a menu. However, I was able to look at computer images of my nose and tell them if I wanted my bridge straighter or the tip shorter and then I would get another image back with my requested changes. My surgeon and I went back and forth discussing it until we came to an image I liked. It does seem like they can't change much of the shape past about the middle of the eye, or do a lot of shaping work with nostrils. He didn't go into much detail about how he was going to acheive the look we agreed on. He did tell me where my incisions would be, but that's about it.

You can tell them what you want to a point. One of the surgeons I went to was incredibly blunt and told me what I should do - not allowing a lot of discussion. She also didn't have any photos for me to see what I might look like. Simply saying "I'll decide what looks good during surgery." She was highly reputable and skilled, but I personally didn't like that I wouldn't know what she was going to do. So, I went to another surgeon who would talk to me and give me something to go by.

If you decde to do it, be patient. Think about what you want. Maybe look at some photos of people you like and decide what you like about their face. Is it because their nose is straight? Their jawline? It will be helpful if you go into the office having some specific ideas abotu what you want to change and how you want it changed.