Subscribe to RSS
DOI: 10.1055/s-0037-1606572
Quality of Life—Changes after Rhinoplasty
Publication History
Publication Date:
29 September 2017 (online)
Abstract
Our study group has researched for >10 years in the field of Quality of Life after plastic, aesthetic, and reconstructive surgery, asking the following questions: “Does aesthetic surgery improve the Quality of Life?” and “Can a higher Quality of Life offset the risk of surgical procedures.” As part of our series of studies examining the correlation of cosmetic surgery and the postoperative well-being, this study examines the influence of rhinoplasty, as a single indication, specifically on the Quality of Life (QoL) of patients. The data of 90 patients who underwent rhinoplasty between 1997 and 2007 were prospectively collected and were retrospectively analyzed. For a competitive analysis, our evaluation was divided into the following five parts: a self-developed indication-specific questionnaire and the standardized instruments Glasgow Benefit Inventory (GBI), Questions on Life SatisfactionModules (FLZM), Freiburg Personality Inventory (FPI-R), and Rosenberg Self-Esteem Questionnaire (RSES). Numerous improvements in patients' QoL were observed. The result of the GBI (17.19) based on a scale –100 to 100 indicates an improved QoL after rhinoplasty. Significant improvements in the item relationship/sexuality were shown in the general part of the FLZM (p = 0.042). The average score (6.32) on a scale of 0 to 14 in the FPI-R questionnaire resulted in a common emotionality and self-assessment, while the RSES (33.64) on a scale 10 to 40 indicated a high self-confidence and a statistically significant improvement (p = 0.0001) compared with German norm data. The knowledge of positive social and psychological benefits and an improved sexuality in the partnership support the meaningfulness of rhinoplasty.
Clinical Question/Level of Evidence
Therapeutic, III: Retrospective cohort or comparative study.
-
References
- 1 Spilker G, Stark G. Quality of life considerations in plastic and reconstructive surgery. Theor Surg 1991; 6: 216-220
- 2 Ching S, Thoma A, McCabe RE, Antony MM. Measuring outcomes in aesthetic surgery: a comprehensive review of the literature. Plast Reconstr Surg 2003; 111 (01) 469-480 , discussion 481–482
- 3 Statistics S. Trends [American Society for Aesthetic Plastic Surgery website]. March 11, 2015. Available at: http://www.surgery.org/media/news-releases/the-american-society-for-aesthetic-plastic-surgery-reports-americans-spent-more-than-12-billion-in-2014–pro . Accessed July 17, 2016
- 4 Anteil der häufigsten Schönheitsoperationen in Deutschland in den Jahren 2011 bis 2015 [Das Statistik-Portal website]. 2016. Available at: http://de.statista.com/statistik/daten/studie/221664/umfrage/anteil-der-haeufigsten-schoenheitsoperationen-in-deutschland/ . Accessed May 18, 2017
- 5 Baumann I. Lebensqualität vor und nach Septum- und Rhinoplastik [Quality of life before and after septoplasty and rhinoplasty]. Laryngo-Rhino-Otol 2010; 89: S35-S45
- 6 Hern J, Hamann J, Tostevin P, Rowe-Jones J, Hinton A. Assessing psychological morbidity in patients with nasal deformity using the CORE questionnaire. Clin Otolaryngol Allied Sci 2002; 27 (05) 359-364
- 7 Most SP, Alsarraf R, Larrabee Jr WF. Outcomes of facial cosmetic procedures. Facial Plast Surg 2002; 18 (02) 119-124
- 8 Gatehouse S. The Glasgow Health Status Questionnaires Manual. Glasgow, Scotland: MRC Institute of Hearing Research, Glasgow Royal Infirmary; 1998
- 9 Henrich G, Herschbach P. Questions of life satisfaction (FLZM) – a short questionnaire for assessing subjective quality of life. Eur J Psychol Assess 2000; 16: 150-159
- 10 Fahrenberg J, Hampel R, Selg H. Freiburger Persönlichkeitsinventar (FPI). Revidierte Fassung (FPI-R) und teilweise geänderte Fassung (FPI-A1). Göttingen, Germany: Hogrefe Verlag; 2001
- 11 Schmitt DP, Allik J. Simultaneous administration of the Rosenberg Self-Esteem Scale in 53 nations: exploring the universal and culture-specific features of global self-esteem. J Pers Soc Psychol 2005; 89 (04) 623-642
- 12 Papadopulos NA, Kovacs L, Krammer S, Herschbach P, Henrich G, Biemer E. Quality of life following aesthetic plastic surgery: a prospective study. J Plast Reconstr Aesthet Surg 2007; 60 (08) 915-921
- 13 Papadopulos NA, Staffler V, Mirceva V. , et al. Does abdominoplasty have a positive influence on quality of life, self-esteem, and emotional stability?. Plast Reconstr Surg 2012; 129 (06) 957e-962e
- 14 Rosenberg M. Society and the Adolescent Self-Image. Revised edition. Middletown, CT: Wesleyan University Press; 1989
- 15 Pfeifer C. Physical attractiveness, employment, and wages. Appl Econ Lett 2012; 19 (06) 505-510
- 16 Plastic Surgery Timeline [American Society for Aesthetic Plastic Surgery pdf]. Available at: http://www.surgery.org/sites/default/files/2012-timelines.pdf . Accessed May 17, 2017
- 17 Why do men get nose jobs? [The Boston Rhinoplasty Center – Worcester and Stoneham]. February 19, 2013. Available at: http://www.bostonrhinoplastycenter.com/blog/why-do-men-get-nose-jobs . Accessed May 17, 2017
- 18 Naraghi M, Atari M. Preliminary findings on gender differences in aesthetic rhinoplasty patients: body appreciation and appearance comparisons. Otolaryngol Open J. 2015; 1 (01) 7-12
- 19 2015 BAAPS: Over 51,000 Britons underwent cosmetic surgery in 2015. [Consultingroom The Cosmetic Guru]. 2016. Available at: http://www.consultingroom.com/Services/Cosmetic-Surgery-Stats/2015+BAAPS:+Over+51,00+Britons+underwent+cosmetic+surgery+in+2015 . Accessed October 20, 2016
- 20 Konstantinidis I, Triaridis S, Triaridis A, Karagiannidis K, Kontzoglou G. Long term results following nasal septal surgery. Focus on patients' satisfaction. Auris Nasus Larynx 2005; 32 (04) 369-374
- 21 Kramer MF, Rasp G, Kastenbauer E. Health-Related Quality of Life in rhino surgery. Am J Otolaryngol 2003; 24 (02) 97-105
- 22 Pfeufer W. Unglücklich – trotz gelungener Nasenkorrektur. J Für Ästhetische Chirurgie 2014; 7 (03) 120-125
- 23 McKiernan DC, Banfield G, Kumar R, Hinton AE. Patient benefit from functional and cosmetic rhinoplasty. Clin Otolaryngol Allied Sci 2001; 26 (01) 50-52
- 24 Stofman GM, Neavin TS, Ramineni PM, Alford A. Better sex from the knife? An intimate look at the effects of cosmetic surgery on sexual practices. Aesthet Surg J 2006; 26 (01) 12-17
- 25 Papadopulos N, Totis A, Kiriakidis D. , et al. Quality of life, personality changes, self esteem, and emotional stability after breast augmentation. Eur J Plast Surg 2014; 37 (09) 479-488
- 26 Khansa I, Khansa L, Pearson GD. Patent satisfaction after rhinoplasty: a social media analysis. Aesthet Surg J 2016; 36 (01) 1-5
- 27 Veale D, De Haro L, Lambrou C. Cosmetic rhinoplasty in body dysmorphic disorder. Br J Plast Surg 2003; 56 (06) 546-551
- 28 McKinney P, Cook JQ. A critical evaluation of 200 rhinoplasties. Ann Plast Surg 1981; 7 (05) 357-361
- 29 Greenfield S, Kaplan S, Ware Jr JE. Expanding patient involvement in care. Effects on patient outcomes. Ann Intern Med 1985; 102 (04) 520-528
- 30 Most SP, Moubayed SP. Patient-reported outcome measures for facial plastic surgery: a specialty finally gets to go to the PROM. JAMA Facial Plast Surg 2017; 19 (02) 101
- 31 Ercolani M, Baldaro B, Rossi N, Trombini E, Trombini G. Short-term outcome of rhinoplasty for medical or cosmetic indication. J Psychosom Res 1999; 47 (03) 277-281
- 32 Günel C, Omurlu IK. The effect of rhinoplasty on psychosocial distress level and quality of life. Eur Arch Otorhinolaryngol 2015; 272 (08) 1931-1935
- 33 Dinis PB, Dinis M, Gomes A. Psychosocial consequences of nasal aesthetic and functional surgery: a controlled prospective study in an ENT setting. Rhinology 1998; 36 (01) 32-36