Does self-consciousness of appearance influence postoperative satisfaction in rhinoplasty?

Publication date: Available online 16 August 2017
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): J.M. Herruer, J.B. Prins, N. van Heerbeek, G.W.J.A. Verhage-Damen, K.J.A.O. Ingels
BackgroundFacial plastic surgeons and patients benefit from knowledge about how psychological aspects can influence the outcome of cosmetic surgery. The influence of pre-operative self-consciousness of appearance and its effect on benefit after surgery in rhinoplasty patients has not been explored before in other studies.MethodA prospective study was conducted on patients undergoing (septo)rhinoplasty for a combination of cosmetic and functional problems. Before the operation subjects were asked to complete two questionnaires, the Derriford Appearance Scale (DAS59) to measure distress associated with self-consciousness of appearance and the Rhinoplasty Outcome Evaluation (ROE) to measure satisfaction with their nose. Three months after surgery they were asked to complete the ROE again and the Glasgow Benefit Inventory (GBI) to measure benefit of the surgery in daily life. Scores of the pre- and postoperative questionnaires were analyzed and compared. Statistical analysis was performed to determine change after surgery and correlations between the scores.Subjects55 consecutive patients undergoing (septo)rhinoplasty received a letter in which they were asked to participate in the study. 33 patients completed both pre- and postoperative questionnaires. Their mean age was 28 years old.Main findingsPatient satisfaction improved significantly after the surgery. Lower self-consciousness of appearance before surgery was positively correlated with more benefit after the surgery and a greater change in patient satisfaction with their nose. Males have a lower benefit scores than females.ConclusionsPatients seeking rhinoplasty have more distress associated with self-consciousness of appearance then a general unconcerned population. They can benefit a lot from a well-executed procedure. A significant improvement in quality of life can be achieved by rhinoplasty. Although males are equally satisfied as females, they benefit less from the surgery in daily life.



from #ORL-AlexandrosSfakianakis via ola Kala on Inoreader http://ift.tt/2wgqwx2