A small percentage of women requesting rhinoplasty are dissatisfied with their surgical result, make complaints that their physical appearance is too drastically changed, comment about the conduct of the surgeons in attendance at their operation, feel personally rejected by their surgeon who is usually "exhausted" by the patient's complaints and demands, and continue to pursue more nasal surgery. The patients are described as aggressive, compulsive, and experiencing depressive symptoms and a "loss of identity." Motivations for surgery may include the patients' irrational focus on the nose in an attempt to obtain relief from depression, and the patients' attempt to reenact early parental conflicts through their relationship with a surgeon. Recommendations for the patients' management are presented.
Knorr NJ. Feminine Loss of Identity in Rhinoplasty. Arch Otolaryngol. 1972;96(1):11–15. doi:10.1001/archotol.1972.00770090049004