This article is aimed to elaborate the significance of detecting clinical features (subjectivity, objectivity and assessment) of the Dysmorphophobic (DMP) psychiatric patients seeking primary cosmetic rhinoplsty (PCR). DMP clients present as a fixation of their thoughts toward the trivial flaws on their body’s anatomy. They consider such minor defects as major and show a great amount of anxiety for such negligible issues. Such dread affects their social, occupational and family’s life and trigger them to seek means of correcting such small blemishes through medical and or surgical approaches. Considering to their nose, they crave to eliminate their minor defects through PCR operation. PCR is viewed as one of the most prevalent aesthetic operations in the field of cosmetic surgery. Author’s method of approach in PCR is to select candidates after obtaining a meticulous health history, physical exam and appropriate para clinical tests. In some uncertained cases, based on their subjectivity and objectivity presentations, are referred for consultation with a psychiatrist for final assessment. Most selected patients undergo PCR via standby anesthesia through an incision on the nasal columella (open rhinoplasty), or in others which their nasal tip alternation is not needed, PCR is approached with no incision on the nasal columella (closed rhinoplasty). Due to the high demand of PCR in the world, among many clients who are seeking for such surgery, might be some cases with DMP disorder who are overlooked in spite of an accurate surgeon’s screening.
 S. E. Moolenburgh, M. A. Mureau and S. O. Hofer, “Facial Attractiveness and Abnormality of Nasal Reconstruction Patients and Controls Assessed by Laypersons,” Journal of Plastic, Reconstructive & Aesthetic Surgery, Vol. 61, No. 6, 2008, pp. 676-680. doi:10.1016/j.bjps.2007.12.017
 R. L. Kurtzberg, et al., “Psychologic Screening of Inmates Requesting Cosmetic Operations: A Preliminary Report,” Plastic and Reconstructive Surgery, Vol. 39, No. 4, 1967, pp. 387-396. doi:10.1097/00006534-196704000-00009
 R. Zojaji, et al., “High Prevalence of Personality Abnormalities in Patients Seeking Rhinoplasty,” Otolaryngology—Head and Neck Surgery, Vol. 137, No. 1, 2007, pp. 83-87. doi:10.1016/j.otohns.2007.02.027
 S. Ghadakzadeh, et al., “Body Image Concern Inventory (BICI) for Identifying Patients with BDD Seeking Rhinoplasty: Using a Persian (Farsi) Version,” Aesthetic Plastic Surgery, Vol. 35, No. 6, 2011, pp. 989-994. doi:10.1007/s00266-011-9718-8
 K. Yu, A. Kim and S. J. Pearlman, “Functional and Aesthetic Concerns of Patients Seeking Revision Rhinoplasty,” Archives of Facial Plastic Surgery, Vol. 12, No. 5, 2010, pp. 291-297. doi:10.1001/archfacial.2010.62
 M. Gipson and F. H. Connolly, “The Incidence of Schizophrenia and Severe Psychological Disorders in Patients 10 Years after Cosmetic Rhinoplasty,” British Journal of Plastic Surgery, Vol. 28, No. 3, 1975, pp. 155-159. doi:10.1016/0007-1226(75)90119-8
 C. S. Thomas and D. P. Goldberg, “Appearance, Body Image and Distress in Facial Dysmorphophobia,” Acta Psychiatrica Scandinavica, Vol. 92, No. 3, 1995, pp. 231-236. doi:10.1111/j.1600-0447.1995.tb09574.x
 H. J. Thakar, P. E. Pepe and R. J. Rohrich, “The Role of the Plastic Surgeon in Disaster Relief,” Plastic and Reconstructive Surgery, Vol. 124, No. 3, 2009, pp. 975-981. doi:10.1097/PRS.0b013e3181b17a7a
 P. Marcus, “Some Preliminary Psychological Observations on Narcissism, the Cosmetic Rhinoplasty Patient and the Plastic Surgeon,” Australian and New Zealand Journal of Surgery, Vol. 54, No. 6, 1984, pp. 543-547. doi:10.1111/j.1445-2197.1984.tb05443.x
 L. Meyer and S. Jacobsson, “Psychiatric and Psychosocial Characteristics of Patients Accepted for Rhinoplasty,” Annals of Plastic Surgery, Vol. 19, No. 2, 1987, pp. 117-130. doi:10.1097/00000637-198708000-00003
 R. Feiss and J. P. Real, “Rhinoplasty: Psychological Aspects. Psychiatrist/Surgeon Collaboration. Apropos of 207 Patients Surgically Treated 1 or More Times between 1980 and 1986,” Annales de Chirurgie Plastique et Esthetique, Vol. 34, No. 5, 1989, pp. 392-394.
 J. B. Copas and A. A. Robin, “The Facial Appearance Sorting Test (FAST): An Aid to the Selection of Patients for Rhinoplasty,” British Journal of Plastic Surgery, Vol. 42, No. 1, 1989, pp. 65-69.
 P. B. Dinis, M. Dinis and A. Gomes, “Psychosocial Consequences of Nasal Aesthetic and Functional Surgery: A Controlled Prospective Study in an ENT Setting,” Rhinology, Vol. 36, No. 1, 1998, pp. 32-36.
 D. B. Sarwer, “Discussion: High Prevalence of Body Dysmorphic Disorder Symptoms in Patients Seeking Rhinoplasty,” Plastic and Reconstructive Surgery, Vol. 128, No. 2, 2011, pp. 518-519. doi:10.1097/PRS.0b013e31821e7248