Feelings of insecurity
Often people walk around with the idea that they have an ugly nose for years therefore, this thought is fixed in their minds. This counts for both obvious as less obvious anomalies. One could say that noses have a long history, same as the feelings of insecurity. What I tell my patients is that this insecurity will not immediately disappear with a nose correction. What I have noticed is that my patients know exactly what they want and are very critical.