Most people who have facial plastic surgery feel blue afterward, he explains. "Your face is swollen, bruised, you don't have as much energy because of the surgery and the anesthesia. If you're already depressed, you will feel worse. That can impact your healing -- since your immune system will be depressed, too. Your face will then take longer to heal."
4. Your support system. Because you'll feel blue, you need people backing up your decision, people who can see you through the rough times.
5. The expense. You don't want this surgery to add to any financial troubles, advises Powell. "If you trade one problem for another, that's not good. You've got to be able to afford it." One man told his wife: "You robbed our children's college funds." Don't go into facial plastic surgery with that hanging over your head.
6. The risks. Like any surgery, there are routine risks associated with anesthesia, blood loss, infections. But cosmetic surgery has specific risks -- there could be some asymmetry, a less-than-desirable outcome, slow healing. Are you prepared to deal with that?
"Just like anything in life, you have to have a little faith and be willing to follow through," Powell tells WebMD. "If you do have some sort of unexpected result, you have to be willing to give it time, be patient, work with your doctor."
Also, remember this: "A lot of problems look like big things at first, and some will go away or heal on their own. But if there is a problem, that's when the doctor-patient relationship needs to be strongest. Some patients you have big relationships with are the ones who had little problems. We had be partners, go through it together."
7. A second surgery. Some 15% to 20% of noses have to be redone, says Powell. "We always tell patients this might not be the only operation you'll have. Sometimes there's a little asymmetry, a little pucker. Some problems have to be fine-tuned. That's when it's important to have a good relationship with your doctor. You have to stick together, and if a revision is needed for the final result, be prepared to go for it."