What is the ruling on rhinoplasty to reduce the size of the nose in cases where it causes severe psychological harm and social embarrassment, knowing that the problem was not present since childhood but began to appear at the age of thirteen?

The general rule regarding cosmetic surgery is prohibition. However, it is permissible if it serves a therapeutic purpose or removes a disfiguring defect, restoring the matter to its usual form. It is not permissible if done solely for the sake of beauty, increasing attractiveness, or changing the shape or size of the nose, as such changes during puberty are common and not considered a defect.