Rhinoplasty has seen an exponential rise in its uptake over the last few decades globally, offering patients a way to surgically correct the external appearance of the nose with the aim to improve cosmesis. Whilst the success of the procedure may be sketched within the surgeon’s mind during their last stitch, the overall success is determined by patient satisfaction after awakening from anaesthesia – a nerve-wracking experience for both patient and surgeon. This team from the Netherlands conducted a prospective multicentre cohort study over a five-year period inspecting patient satisfaction six months post primary open or closed rhinoplasty. The Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty and FACE-Q Aesthetic questionnaires were issued to patients preoperatively and six months postoperatively. A total of 380 patients, of which 89.5% were female, completed all questionnaires. They reported significant improvement in satisfaction, quality of life and body image at six months postoperatively, validating rhinoplasty as a procedure in the realm of cosmetic surgery. Noteworthy is the subgroup analysis demonstrating that subjects aged over 30 years with a previous cosmetic surgery history had a significant negative effect on improvements in satisfaction and quality of life postoperatively. Plausible explanations include higher positive feedback through social life in younger cohorts together with lower expectations in those undertaking cosmetic surgery for the first time. A multivariable model examining which factors independently impact patient satisfaction will be helpful and can be utilised to exert enhanced expectation management preoperatively.
How satisfying can a rhinoplasty be?
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