The surgeon may be the architect and the builder, but the patient is the owner and the landlord. Some patients forget that they are the boss. This means that the surgeon should choose correcting functional problems before beginning on aesthetic concerns. Surgeons sometimes use this dogma to justify releasing a scar contracture of the hand before rebuilding a scarred nose. Well, I have some news for you.
Function follows form.
Things that look better tend to work better. This is especially true with people. If you want proof, wear a dress or a tie to your next office visit. People who feel good about themselves function better. Even with the contracted hand.