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Physiognomy is the overall facial appearance of an individual.  Cosmetic surgical procedures are the most long lasting and effective way to alter and improve changes to physiognomy caused by ageing and detrimental environmental factors.  Commonly performed procedures to change facial appearance include ‘facelifts’ (Rhytidextomy), ‘nose jobs’ (Rhinoplasty) and eyelid surgery (Blepharoplasty.)