You can still consider them, a lot of clinics do fake reviews, but look for the real positive reviews.
1. User only has 1 post
2. 0% of people are going to say their surgery journey is all positive, they will usually talk about some kind of pain or anxiety, ESPECIALLY rhino; it's almost impossible to have zero complaints about a nose
3. Why would someone comment their complete surgery review on someone else's review unsolicited? So weird and unnatural
You should also avoid users that only talk about one clinic