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This retrospect study was conducted to evaluate patients satisfaction following rhinoplasty. Of the 1,062 patients who had undergone rhinoplasty and received a questionnaire, there were 468 respondents. They rated satisfaction with aesthetic and functional results of the surgery. Four groups were created: Group I comprised all the respondents: 468 patients of which there were 381 (81.4%) females and 87 (18.6%) males; 6.2% of this group was dissatisfied. Group II [373 patients: 301 (80.7%) female and 72 (19.3%) male] was composed of patients who underwent a primary rhinoplasty by the lead author, with or without revision of which 7.5% was not satisfied. Group III [95 patients: 80 (84.2%) female and 15 (15.8%) male] comprised those who underwent the initial rhinoplasty by another surgeon and the secondary procedure by the lead author. The surgery failed to satisfy only 1.1% of this group. Group IV [86 patients: 78 (90.7%) female and 8 (9.3%) male male] underwent initial surgery by the lead author and then required revision surgery. This group exhibited the highest dissatisfaction level (13.6%). This article analyzes the results of the questionnaire in detail. In summary, the percentage of dissatisfied patients in the total population was higher among male patients (12.8%) than among female patients (4.6%).

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A postoperative questionnaire was sent to all secondary rhytidectomy patients inquiring about their social and physical recovery time, complications related to either the initial or secondary surgery, and the onset of any new medical problems or the commencement of any new medications between the two surgeries. The overall satisfaction rates for both surgeries, time interval between the two operations, and their perception of the years of youthful appearance gained from either operation were also investigated. The overall satisfaction rate was slightly higher for the secondary facial rhytidectomy (4.49) than for the primary rejuvenation of the face (3.97) (p < 0.06). Patients perceived themselves as looking an average of 9.31 years younger following primary surgery, as compared to an average of 10.19 years younger following the secondary rhytidectomy (p < 0.50). The average time interval between the primary and secondary rhytidectomy surgeries was 8.48 years (range = 1 to 16 years). Twenty-nine ancillary procedures were performed during the initial rhytidectomy and 70 ancillary procedures were selected during the secondary rhytidectomy (p < 0.001). There was no statistically significant difference for the physical and social recovery time between the two procedures. Fourteen of 33 patients (42.4 percent) requiring a secondary rhytidectomy had developed a new medical problem prior to the second surgery (p < 0.001) and 19 patients (57.6 percent) were started on a new medication (p < 0.001). It was concluded from this study that the secondary rhytidectomy patients are more inclined to be satisfied (approaching statistical significance), are more likely to undergo ancillary procedures, and, being 10 years older, are more prone to have medical problems with deleterious effects on surgery and to be on medications with potential ill effects. Also, observations have been made that the previous scars pose some limitations, with the anatomical changes from the previous surgeries often requiring masterful planning and execution. Skin circulation is, in general, superior, enduring more tension.

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