Also, you can depend on a surgeon's skill and expertise ... but only up to an extent. If they are able to prove you do not need a procedure for logistic purposes or enhance your look by utilizing your ideas and building on them, that's fine. Never let a surgeon tell you that you need a procedure you don't want. If you do not feel comfortable with the surgeon, as he or she is telling you to go in a totally different direction, take it with a grain of salt, and get other professional opinions. Beware surgeons who have very aggressive approaches as well.