ABSTRACT
This chapter provides a case of a 26-year-old woman who presents saying she needs referral to a plastic surgeon as her nose is too large. She feels that people constantly comment on her nose, behind her back. She feels her facial disfigurement has prevented her from developing positive relationships as she lacks confidence and never believes friends when they try to reassure her that her nose is fine. She recently gave up her job as she was constantly late because it took her so long to apply her makeup to hide the disfigurement. Her appearance is healthy and there is no discernible abnormality with her nose in shape or size. She is however inclined to hide her face and especially her nose by using a leaflet even though she is wearing a floppy hat which covers most of her face. She appears somewhat nervous and her speech is rapid but only when she is talking about her nose.
