The effect of rhinoplasty on psychosocial distress level and quality of life

Abstract

The aim of this study was to evaluate psychosocial distress and improvement in quality of life (QoL) of patients undergoing rhinoplasty and compare the level of distress associated with the types of rhinoplasty. A total of 79 patients who underwent external rhinoplasty were enrolled in the study. The patients were grouped due to primary, secondary, functional and cosmetic rhinoplasty. The patients were evaluated four times: preoperative evaluation, 4th, 12th, and 24th weeks postoperatively and completed questionnaires including the rhinoplasty outcome evaluation (ROE) scale, nasal obstruction symptom evaluation (NOSE) scale, and Derriford Appearance Scale 24 every four visit. The revision cases and patients with cosmetic indication have more emotional distress than others at the preoperative and early postoperative period (p < 0.005). However, the distress level equalize and return baseline values beyond 12 weeks. The ROE and NOSE scores of all patients were very significantly improved by the rhinoplasty (p < 0.001). To our knowledge, this is the first study to evaluate changes in distress of patients undergoing rhinoplasty using DAS-24 scale. The psychosocial distress has a significant impact on quality of life and, therefore, it is an important factor to assess the success of surgery. In addition, regardless of initial demand and type of surgery, rhinoplasty provides improvement in nasal obstruction, and a positive impact on QoL in most of the patients undergoing rhinoplasty.

Causes and Challenges of Males’ Rhinoplasty in Iranian Population: Qualitative Study

“…People tend to have a low self-con dence when their mental image of themselves is not good [20]. A decrease in self-con dence and problem with mental image of oneself affects social interactions in a negative way [21]. People might seek others' attention due to low self-con dence and negative mental image of oneself [12].…”

Comparison of anterior nasal packing and absence of packing after rhinoplasty

“…4,5 Although not visible immediately, it becomes apparent after a few hours of surgery. 3,16 Complete resolution of this postoperative morbidity may take up to 2 to 3 weeks.…”

“…This mainly results in a dissatisfied patient as it can cause social as well as work related inconvenience, the rate of which is estimated to be 10-25% especially in the early post op period. [3][4][5] There have been a few studies to address this problem of edema of the eyelid and periorbital ecchymosis, by using anti-inflammatory drugs such as steroids, modified surgical techniques and cold compression techniques. 6,7 The most common mode of treatment of rhinoplasty is with the use of the nasal packing and external immobilization with splint as hemostasis may occur as well as this is required for the fixation of the operated bones and caartillages.…”

Ethical Considerations on Case Reports and Analysis of Quality of Life in Patients with Cosmetic Rhinoplasty

“…Most of these measures include generic elements that were not specifically created for patients undergoing cosmetic surgery and may underestimate the specific effects of body alteration resulting from such interventions (14). For instance, one known limitation of these generic tools for an assessment of QOL is their low sensitivity to detecting changes in healthy subjects.…”