OBJECTIVE: To assess the effect of the patient's personality on his/her satisfaction with rhinoplasty. STUDY DESIGN: Personalities of 66 rhinoplasty candidates and 50 persons who served as control were evaluated using questionnaires. The results were validated using the Minnesota Multiphasic Personality Inventory (MMPI) test. Six months after the surgery, the rate of satisfaction was evaluated using another questionnaire based on a visual scale. The results were statistically analyzed to assess the relationship between personality traits and rate of satisfaction. RESULTS: The average age of participants was 25.3 ± 5.12 years; 79% were females. Obsessiveness was the most frequently noted personality trait; being antisocial was the least mentioned. Personality type and level of satisfaction were statistically related ( P < 0.001). The satisfaction rate of rhinoplasty was 55.1%. Candidates with “good faking” trait followed by those who were-“depressed” had the highest satisfaction. CONCLUSION: Identification of patient's personality can be a major factor influencing satisfaction results after rhinoplasty.

SUMMARYThere has been increasing number of requests for cosmetic rhinoplastic surgery among Iranian people in different age groups in recent years. One risk for people who undergo such plastic operations is the presence of body dysmorphic disorder (BDD), which can complicate the result and decrease the rate of satisfaction from surgery. This study aimed to investigate mental health problems in people seeking rhinoplastic surgery. In this case-control study, the scores of General Health Questionnaire (GHQ) and DCQ (Dysmorphic Concerns Questionnaire) were obtained from 50 individuals who were candidates for rhinoplasty, and the results were compared with a normal control group. The total GHQ score and scores in anxiety, depression, and social dysfunction sub-scales were higher among the study group. This was the same for the DCQ score. However, the scores of somatization sub-scale of GHQ were not significantly different between the two groups. Psychiatric evaluation of candidates for rhinoplasty seems necessary for prevention of unnecessary and repetitive surgical operations.

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