Patient Outcomes and Clinic After Rhinoplasty Surgery
Patient, Clinic, Outcomes
Rhinoplasty,
Surgery,
AuthorsABSTRACTObjective: This study aimed to evaluate the aesthetic and functional outcomes, as well as patient satisfaction, following rhinoplasty with a focus on tip reconstruction using both traditional and modified surgical techniques. Methods: A total of 300 patients (215 females, 85 males) underwent rhinoplasty, with 146 patients receiving traditional tip surgery and 154 undergoing the modified technique. Aesthetic outcomes, including tip projection, supratip and infratip collapse, alar width, columella width, and nasal dorsum contour, were assessed preoperatively and six months postoperatively. Patient-reported satisfaction, functional improvement in breathing, psychological wellbeing, and social confidence were measured using a structured questionnaire and analyzed statistically with SPSS, including descriptive statistics, Pearson correlations, ANOVA, and reliability tests. Results: Preoperative assessments showed comparable baseline aesthetic measures between groups. Six months postoperatively, significant improvements were observed in tip projection, reduction in supratip and infratip collapse, and overall nasal symmetry, particularly in the modified technique group (e.g., supratip collapse: 0.4 ± 0.1 vs 0.1 ± 0.02). Patient satisfaction scores were uniformly high across all parameters, including aesthetic appearance, breathing function, psychological comfort, and social confidence (mean scores ~13–14/15; Cronbach’s α = 0.938). Strong positive correlations were identified between surgeon professionalism, improvement in breathing, social outcomes, and willingness to recommend the clinic (p < 0.01). No significant differences were found in satisfaction based on gender. Conclusion: Rhinoplasty with tip reconstruction, especially using the modified technique, resulted in significant improvements in both aesthetic and functional outcomes. Patients reported high satisfaction levels, improved psychological wellbeing, and positive social impacts. The use of targeted suturing techniques enhanced tip definition, symmetry, and natural appearance while minimizing the need for additional grafts. These findings support the clinical efficacy and patient-centered benefits of refined rhinoplasty approaches.
INTRODUCTIONRhinoplasty is one of the most commonly performed aesthetic surgical procedures worldwide, aiming not only to improve nasal appearance but also to enhance functional outcomes and patient quality of life (QoL) (Yang et al., 2018). Historically, rhinoplasty was primarily focused on achieving an ideal nasal shape; however, contemporary practice emphasizes a holistic approach that incorporates both aesthetic refinement and the preservation or restoration of nasal airway function (Barone et al., 2017). Patient satisfaction following rhinoplasty is influenced by multiple factors, including psychological wellbeing, functional improvement, and aesthetic outcome, making comprehensive outcome assessment essential for clinical success (Wähmann et al., 2018). Validated patient- reported outcome measures (PROMs), such as the Rhinoplasty Outcome Evaluation (ROE) and the Nasal Obstruction Symptom Evaluation (NOSE), have become standard tools for quantifying both functional and aesthetic results, as well as overall patient satisfaction (Yang et al., 2018; Barone et al., 2017). ••••••••••••••••••••••••••••••••
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