That’s a good question that doesn’t have a very good answer. Some surgeons in certain geographic areas will tend to attract a more homogeneous group of patients with similar features who may desire similar types of results. But, in a multiethnic large city, you shouldn’t be able to pass someone on the street and say to yourself, “Hey, that’s a Dr. Smith nose.” Ideally, you shouldn’t recognize a good rhinoplasty result at all.

The most common cause for this finding is that many surgeons train in and are comfortable with specific Rhinoplasty techniques. As a result, they may not vary their technique substantially from patient to patient. It’s not so much a formula. But, many have honed their skills within a particular zone of comfort and they feel that this skill set has worked for them in their practices. Sometimes it’s not a surgeon’s technique but a surgeon’s aesthetic standards that are at cause. Some surgeons have very strongly felt and unwavering ideas of what constitutes an ideal nose and they may indirectly impose these on their patients.

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