I have a lot of young patient’s who bring me pictures of the “Kim Kardashian nose job” during their pre-operative visit at my Los Angeles office. What I’m impressed with beyond her natural beauty, is that these young patients could even recognize Kim Kardashian’s plastic surgery. It is a subtle change, but does all the wonderful things that finesse rhinoplasty can do. Kim Kardashian’s plastic surgeon must have know that s/he was messing with near perfection. But the human perception can be highly fickle, and anything that distracts from the beautiful symmetry of someone’s eyes will undermine our attention. This is a subconscious phenomenon that is with us from an early age. Many of my rhinoplasty patients are very articulate about these subtleties.