If an Orlando cosmetic surgeon believes that a patient is not medically or psychologically suited to a surgery, they may not carry out the procedure for preserving the health and safety of the patient. A total physical examination is also important, to make sure that the patient can withstand the effects of sedation, surgery, and recovery. An anesthesiologist can determine the safety of anesthesia use based on a patient’s lifestyle, health, and medical history. If you suffer from allergies to certain medications or anesthesias, if you have certain heart defects, if you smoke, if you are overweight, or if you are pregnant you may not be a candidate for surgery. It is important for surgeons to protect your health and safety above all else, so a full medical evaluation is necessary. It is also necessary to record the skin type, existing scars, and skin condition of the patient, along with the anatomical structures of the patient’s nose. A surgeon will take note of the angle at which the nose projects out from their face, the location and size of the nasal tissue and bone, the condition of the septum, the nasal valves, the nasal lining, the tip of the nose, and more. Sometimes, tests such as a mirror test or vasoconstriction exams can be performed to evaluate a patient before plastic surgery. The Cottle's maneuver can be performed to detect nasal valve disorders that will need to be corrected to encourage unobstructed breathing.