One great plastic surgeon argued that even very experienced plastic surgeon cannot exercise ultimate control over the result of rhinoplasty and that it is extremely complex. After all, a human being is a natural, “handmade” object.
Everything is lopsided, unsymmetrical, individual and unique, yet still attractive and beautiful like an oven-fresh pastry. This made me think of Viennese pastry, which was also called Moscow pastry in my youth. That pastry has acute angles and cream eyes looking out from the pastry fold. These pastries want to look pretty. When baker takes a big plate of pastry from the oven, some of them sometimes get tossed in the bin. Those pastries will not be put on sale, because they have blemishes. Some of them have no cream, some have frayed edges, some have round or square form instead of acute angles. These pastries end up in a bin, they will not be sold or eaten. They are inedible for aesthetic reasons. Without using excess words, this introduces to us the term of “inedible aesthetics”. This can be successfully used when assessing the beauty of a nose. Noses must look aesthetically pleasing like unique pastries on the bakery counter. There is no point in measuring them by mm, because there is no symmetry, accuracy, recurrent angles and curves, yet they are pleasing to the eye. Similarly, when assessing the beauty of a nose, there is no need to measure by millimetre, and the general impression is enough to understand whether it is “edible” or “inedible” aesthetics.
Patients’ wishes are often far from natural and difficult to accomplish. In a machine-technical environment we have become used to level surfaces, right angles and industrial symmetry. But a man, after all, is “handmade” – and thus rather comparable to hatchet job!