Couldn't agree with the doctor more - and honestly I didn't even notice the nose difference in the before picture and possible after picture until I finished reading his statement because of your eyes and lips - he is definitely right :)

I think she has ethnic beauty. Her nose looks sort of cute to me. With some gentle skin care products, she should be able to clear up her acne and feel good about herself. Take a good look at the hypothetical nose. Look like anybody you know? I mean it's kind of freaky, if you ask me. At least her real nose is symmetrical.

She was cute before the surgery, but feeling more attactive is a good reason to change Looks great.

Both pictures look like mug shots, I am sure because it's necessary for the doctor to make an assessment. But, in my opinion, she is adorable just the way she is. I bet when she smiles, she can light up a room. All teenagers feel that they would like to change something, but I would caution her to wait a few years. We have a way of coming to love the uniqueness the Universe gave us. My advice...she could use a little makeup, if she likes...and keep her natural-given beauty.

This type of surgery will be covered under the new health care program. In order to be covered, you must be unemployed and receiving two or more other federal support programs. It is also an excellent opportunity to sue for malpractice following the surgery, since the new legislation didn't change the system in that regard. She might want to schedule the procedure ASAP, since there will be 40,000,000 more people looking for care in the US.

She has no makeup on. I would not go by this "mug shot" look to judge if she needs surgery. A little face powder to cover the shine. Play up those pretty eyes with some shadow and mascara. Color on lips and I bet she looks better than if she wore the makeup after surgery. You can almost picture it; I bet she is much prettier with her strong ethnic features. It is a cute nose!

she looked fine both ways wish I could get my eyes and a little work on my face done age is a bitch

Now she needs a lip job, control of those eyebrows!

I agree...the new nose looks very MJ like. The tip is too small for the bridge and it looks strange. There wasn't a need to take that much off. I think its sad that she doesn't like her ethnic great looks. We all don't have to look like barbie dolls. Hopefully this works to make her feel better about herself. I have plenty of facial "flaws"...but people tell me how great I look all the time. ONLY because I smile, I'm happy and I'm confident in who I am as a person. Women REALLY need to feel that way!!

I think that if you want to do the nose, that is ok. But leave the rest of your face alone. You are a beautiful girl with fantastic features. Your eyes are simply wonderful. As said before, a little make-up goes a long way. You, my dear, are beautiful!

Well, now, young lady. You don't like your face. At all. Nothing good about it. Dr. F's advice about combating acne are target, but after that, you need to listen to me with your ears, your mind, your heart and your spirit. I can understand your thinking, because teenagers have been unhappy with their looks as long as there have been, well... teenagers! But today, the pressure to look attractive is at an all time high, especially since we tend to judge a person's worth at face value. Literally. But you need to put the brakes on having any invasive cosmetic work done until you are at least in your early to mid-twenties. Why? Because right now you want to look like the images of beauty you see on tv, in magzines, via film characters, etc. These women are beautiful, but are the cookie-cutter faces really YOU? By waiting until you are older, you will develop your own standards of beauty and the personal image of beauty which allows you to still be true to yourself, not pander to someone else's trumped up, unrealistic version of you.

All this being said, you are a lovely young lady. The right make-up and hairstyle might just change your mind about how much you think you have to offer in the "beauty department".

Need plumper lips? I think she needs a lower lip reduction.

Wow, Gil, how long did it take you to devise a way to turn an
innocent teenage girl's hopes and dreams about herself into a political issue about health care reform? Way to go, man!
You're all heart.

How sad she isn't happy with her natural beauty and would rather have a "Michael Jackson" point. As the other person said, I'm sure she lights up a room when she smiles. I think she's adorable just as she is and that the doctor's skills should be used on someone who has been in an accident or had cancer surgery.

Young lady, do not get plastic surgery!!!! I have been in the medical profession for over 34 years as of February 2010. This includes 9 years in cosmetic surgery. As a licensed professional I would advise this young lady, and other who make look like her to try these 3 simple steps before resorting to costly procedures.

1.) Go to your local hardware store and ask for Vice Grips. Make sure they are the type that would typically bolt down to a work table. They cost between $75-$150 depending on the retailer and weigh between 55-95lbs. Put Vaseline on the clamp surface and slowly crank it tight on each side of your orbital bones (eye sockets). Wear this around for a few weeks (do not remove) and slowly tighten the pressure. This should lessen the gap between your eyes. Warning: you may not have as good of peripheral vision, but you will no longer resemble a bluegill.

2.) Most insurance companies will not cover procedures such as "nose jobs", wrinkle removal, and lip implants. As for this young woman's nose, there are many options, however they all include starting over. I would suggest talking with your Doctor about alternative ways to correct the issue. I will accept cash under the table (as most medical professionals do) to badly break someones nose and use it as an insurance cover to get the nose job done. The black market price is roughly $700. Or you can break your own nose by simply running into a wall.

3.) And by far the cheapest and smartest way to become happy with your face is to visit a child in a burn unit. Once you see someone that is actually in need of surgery, and not just being whiny and ungrateful like this woman, you may choose not to blow money on yourself but instead help someone else. Because we all know that how we feel about ourselves on the inside is far more important than what others think of us on the outside.

Always consult your Physician before trying any of the above methods. Thanks.

Dr. Stephen P. Klawitz MD