Your purchase of this book is the first step in having a confident and clear understanding of the cosmetic surgery you may be considering. The questions, expectations and recommendations contained in this book will be vital to your outcome. This book will give insight into the realities of cosmetic surgery, reasons you may or may not choose to have surgery at all and secrets for a successful recovery. The decision to have cosmetic surgery is a serious one and should not be made hastily. Review this book a number of times. Highlight sections or dog-ear pages and take this along to your consultation so you can remember all the questions you want to ask your surgeon. Remember, the more information you have, the more prepared both you and your surgeon will be prior to surgery. Every year, half a million people who are interested in improving the appearance of their noses seek consultation with facial plastic surgeons. Some are unhappy with the noses they were born with, and some with the way aging has changed their nose. For others, an injury may have distorted the nose, or the goal may be improved breathing. But one fact is clear: Nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, even a slight alteration can greatly improve one's appearance. The definition of rhinoplasty is, literally, reshaping the nose. The etymology of the English word of rhinoplasty is derived from the greek prefix rhino meaning nose, and plasty defined as a surgical procedure for the repair or restoration of a body part. If you have wondered how nose surgery, or rhinoplasty, could improve your looks, self-confidence, or health, you need to know how rhinoplasty is performed and what you can expect. No book can allay all your concerns, but this one can provide answers for many of the questions you may have. Successful facial plastic surgery is a result of good rapport between patient and surgeon. Trust, based on realistic expectations and exacting medical expertise, develops in the consulting stages before surgery. Your surgeon can answer, and should be willing to, specific questions about your unique needs. Brenton B. Koch, MD, FACS, is a double board certified facial plastic and reconstructive surgeon. He is certified by the American Board of Facial Plastic and Reconstructive Surgery as well as the American Board of Otolaryngology-Head and Neck Surgery and has earned the designation of Fellow in the American College of Surgeons. Dr. Koch specializes exclusively in plastic and reconstructive surgery of the face with an emphasis in rhinoplasty and cosmetic facial rejuvenation. Each year his team of professionals prepares for and performs hundreds of facial surgeries treating problems relating to appearance, accident or disease. He resides in Des Moines, Iowa, with his wife, Heidi M. Koch, MD, and their four children. For more information, visit www.kochmd.com. Congratulations for taking this significant step toward improved health and well being