“…Standardised, valid and reliable methods for evaluating success in facial cosmetic procedures including rhinoplasty are still lacking (Moolenburgh et al, 2008b;Kosowski et al, 2009). Subjective patient reporting and clinicians' opinions on treatment outcomes, albeit controversial, seem to be biased (Eliason et al, 1991;Marcusson et al, 2002;Sharp and Rowe-Jones, 2003;Al-Omari et al, 2005;Sàndor and Ylikontiola, 2006;Meyer-Marcotty and Stellzig-Eisenhauer, 2009). …”