Motivation

"Pinocchio", "Schnozz", and the vastly creative "Big-Nose" are the epithets hurled by children and adolescents at play. I've heard a few of them, and anyone that has considered rhinoplasty probably has their own favorites. Even though I was 43 years old before surgery, and it has been decades since any of those names have been tossed my way, I could still hear the faint echos of those youthful teasings when looking in the mirror. The time had finally come to silence those echos. The nose on the other side of the looking glass was going to change!

There was an exact moment when I made a commitment to myself to finally follow through on a rhinoplasty. Several months before the surgery, I had shaved off my mustache and beard due to a skin allergy. That beard and I had been together for over 20 years, so it took a lot to get used to the new boyish look. Not only did that multi-purpose beard eliminate most of the chore of shaving, but also lent a balance to my face which made my nose seem less prominent. I shuddered the first time I had a good look at my newly naked face, with that tension-nose1 screaming for attention in the middle of it all. That nose just wouldn't shut-up, and that was when I knew it was time for a showdown.

Despite wanting a "nose-job" since being an early teen, there were too many self-restraints that prevented me from having the surgery at a younger age (and boy, am I kicking myself for waiting so long). Well, around the time that you turn 40, there is an unexpected beneficial change. One friend describes this as the time when the "Don't-Give-a-Shit gene" kicks in. It's marvelous, you stop worrying so much about what other people think about your appearance, or your personal views. I remember before the DGaS gene kicked in, leaving the house without showering and changing into clean clothes was reserved only for this-is-men's-work trips to places like Home Depot and the recycling center. Now, with the help of a baseball cap, I'm ready to roll with a moments notice.

After getting a taste of freedom from what others thought of my appearance, I wanted more. Unfortunately, the DGaS maturation didn't cover the serious attitude adjustment that my nose required; I guess there was just too much to cover . I still had that same-old, tired, annoying, energy-draining, and just plain stupid self-consciousness as it had always been. Fortunately, I had reached a point where I was no longer concerned what others might think about my having surgery. At the same time, I felt as though I were approaching a point that if I didn't do it soon, I'd never do it.

I told myself, be objective, be brave, have one more scrutinizing look at the guy in the mirror. Hmmm, he might be decent looking, if only... It was time. Just do it.

Reactions

When I told my family that I was going to have surgery, they were very supportive. The response was "if it will make you feel better, then do it". There was no worrying about the loss of a family nose. In fact, I was the only one of four boys that got "that nose", which was easily traced back to Lithuanian roots (even though this is not a Lithuanian trait). Although I'm mostly of Irish and Italian descent, that slice of Lithuanian heritage had asserted itself with a vengeance.

When I told various friends of the upcoming surgery, it was typical for them to blurt out something like "...but there's nothing wrong with your nose". Being wonderful and devoted friends that they are, they will lie to me when they think I need it most. OK, there was nothing technically wrong with my nose, and I knew that. It was never an issue of something being wrong; it was an issue of self-consciousness and self-esteem. When the reason for surgery is addressed in terms of self-esteem, and reconciling one's inner image with one's outer physical appearance, most people understand and empathize. Otherwise, they smile politely, look back at the menu and exclaim something like "you must try the shrimp here, it's excellent"!


[1] Plastic surgeons use the term "tension-nose" to describe a nose where the tip of the nose appears to be exerting a pulling force from the bridge as well as from the base of the columella. In my case, the convex dorsum along with the tethering between the upper lip and columella created this effect.


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Updated Sun Jun 22, 2003