How to decide to get a nosejob or not?

post by snog toddgrass · 2020-07-02T17:54:13.744Z · LW · GW · 4 comments

This is a question post.

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  Answers
    7 Stuart Anderson
    4 Dagon
    1 remizidae
None
4 comments

The affect heuristic suggests that being attractive has many subtle advantages, both in social and professional life. These advantages might be too subtle to notice at any one interaction, but they are important in aggregate. If getting rhinoplasty made me 5 percentile more attractive (say from 35th percentile to 40th, or 65th to 70th), over my entire life it might be worthwhile. Rhinoplasty in a low-healthcare-costs country might run just 3,000 USD, and to my knowledge is a one time expense which does not require repairs or updates.

How can I assess the value for money/time? For one thing, asking people if you have a big nose is awkward and they would mostly lie. The doctors just want a sale, so they have the opposite incentives to lie. In any case, is there evidence in general that rhinoplasty actually makes people more attractive.

I have found one resources for this - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2691557/

(I suspect other ways of improving presentation, like buying neutral colored clothing and improving social skills are more cost effective, but am uncertain)

Answers

answer by Stuart Anderson · 2020-07-03T01:53:48.468Z · LW(p) · GW(p)

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answer by Dagon · 2020-07-02T19:33:09.515Z · LW(p) · GW(p)

I think, from past comments, you're a cis hetero male, as am I. Most of what I say here applies to anyone, but some subcultures or demographics may have sufficiently different beauty and behavior norms as to override other considerations.

Being (more) conventionally attractive has advantages. Being known to focus on physical attractiveness has disadvantages. And most importantly, attractiveness is different for different evaluators. It's quite likely that even if a change is judged as an improvement by your average contact, it can be significantly negative to some important people (your family, close friends who liked you how you were, people you have yet to meet who just prefer natural looks).

This is something you probably can't average out - the distribution and the specifics matter.

I don't mean to argue for "don't do it" - all evidence I have indicates that people who get plastic surgery are happier after than before. I know maybe a dozen people in this category (all women, and more boobs than face, but it's still evidence), and the only one who regrets it (at least enough to share with me) was a case of something going wrong and requiring further surgery and pain to get a smaller overall improvement than expected - she did not believe she'd chosen wrongly.

I do mean to argue that you can collect evidence much more than you've shared here. Asking people can be awkward, but no more awkward than explaining the bruises and talking about it afterward. People and doctors will sometimes lie, but more often will only partly obscure their true beliefs. The extremely common tactic is to tell a few close friends and relatives that you're considering this surgery, and ask what they think. You're not looking for a number or a final result from that, you're looking for general attitudes and specific reaction to your options.

Also, when interviewing doctors, ask for references - they'll be skewed, but still nonzero value as evidence. There _have to be_ subreddits and forums about the topic, and about sub-groups you particularly care about where you can ask (anonymously if you want) about opinions on size of schnozz and on remediation of such. Also skewed, but once you recognize that you don't want averages, but distributions of attitude across groups, that's not too harmful to your choice.

You can also collect some evidence by investing smaller amounts of time/money and seeing if that has any noticeable effect - which may be valuable on their own as well. Pay for a really nice haircut, and hire a personal shopper or consultant for a wardrobe upgrade.

comment by snog toddgrass · 2020-07-02T19:42:23.778Z · LW(p) · GW(p)
Being (more) conventionally attractive has advantages. Being known to focus on physical attractiveness has disadvantages. And most importantly, attractiveness is different for different evaluators. It's quite likely that even if a change is judged as an improvement by your average contact, it can be significantly negative to some important people (your family, close friends who liked you how you were, people you have yet to meet who just prefer natural looks).

That is a good point. Past friends and family might actually judge quite harshly. My mom would get it, but otherwise... One quibble, it is hard to notice a nosejob for a new person. Unlike lip injections or whatever, it should look like you were born with a straighter nose. All the other alterations have too many downsides to consider.

You're not looking for a number or a final result from that, you're looking for general attitudes and specific reaction to your options.

Interesting point

Also skewed, but once you recognize that you don't want averages, but distributions of attitude across groups, that's not too harmful to your choice.
That is true as well. I have been using tinder matches for advice on fashion choices.
You can also collect some evidence by investing smaller amounts of time/money and seeing if that has any noticeable effect - which may be valuable on their own as well. Pay for a really nice haircut, and hire a personal shopper or consultant for a wardrobe upgrade.

Very very true. I have already begun buying an all new wardrobe. Any nosejob should wait until trying out the really good cost/benefit propositions.

Replies from: Dagon
comment by Dagon · 2020-07-02T21:35:30.204Z · LW(p) · GW(p)
Past friends and family might actually judge quite harshly.

And will certainly judge more harshly if it seems like a rash decision, which they will if you haven't talked about before or asked anyone's opinion. More importantly, it's about collecting data - even if they lie, they'll reveal information about their beliefs and expectations. You need this data!

Any nosejob should wait until trying out the really good cost/benefit propositions.

That's not quite what I meant - there's no reason not to both if you're convinced that both are beneficial. I meant to suggest that this is an avenue to gather evidence about how (some) people treat you differently based on appearance, and that evidence can be used in your calculation about a nose job.

Don't serialize when you can be parallel. Don't blindly wait to try out one intervention at a time. DO wait when you have a reason, when there's data you need from the sequencing and separation of interventions.

answer by remizidae · 2020-07-03T00:52:27.777Z · LW(p) · GW(p)

I don’t think “Do I have a big nose” is the right question. Big isn’t necessarily bad. “Would I be more attractive after rhinoplasty?” Yes, some people will lie or avoid the question, so ask your blunt friends who also have good judgment.

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comment by Dagon · 2020-07-02T19:42:12.403Z · LW(p) · GW(p)

Also, if you haven't already, watch Roxanne (1987). It will provide a great set of comebacks and reactions for when people react to the size of your nose.

comment by shminux · 2020-07-03T05:02:45.499Z · LW(p) · GW(p)

The looks can be changed a lot with some judicial makeup. Consider watching some youtube videos on contouring, and trying it out, either by yourself or with some professional help. See if you notice any change in how others see you and relate to you.

comment by wizzwizz4 · 2020-07-02T17:59:56.809Z · LW(p) · GW(p)

You should also take into account what this signals to people who know you've had a nose job (e.g. vanity).

Replies from: snog toddgrass
comment by snog toddgrass · 2020-07-02T18:22:17.139Z · LW(p) · GW(p)

Good point. It would be slightly more valuable when moving cities.