Facial Plast Surg 2021; 37(05): 639-645
DOI: 10.1055/s-0041-1725174
Original Research

Quality of Life after Rhinoplasty: A Prospective Study

Nikolaos A. Papadopulos
1   Department of Plastic Surgery and Hand Surgery, Technical University of Munich, Munich, Germany
2   Department of Plastic Surgery and Burns, Democritus University of Thrace, Alexandroupoli, Greece
3   National and Kapodistrian University of Athens, School of Medicine, Athens, Greece
,
Janina Liebmann
1   Department of Plastic Surgery and Hand Surgery, Technical University of Munich, Munich, Germany
,
Markus Kloeppel
4   MediCenter Munich Solln, Aesthetic Surgery & Medicine, Munich, Germany
,
Gerhard Henrich
5   Technical University of Munich, Institute of Psychosomatic Medicine and Psychotherapy, Munich, Bayern, Germany
,
Hans-Günther Machens
1   Department of Plastic Surgery and Hand Surgery, Technical University of Munich, Munich, Germany
,
Rainer Staudenmaier
6   ENT Private Practice, Munich, Germany
,
Richard Niehaus
1   Department of Plastic Surgery and Hand Surgery, Technical University of Munich, Munich, Germany
› Author Affiliations

Abstract

As our previous studies have shown, cosmetic surgery has a positive correlation with postoperative well-being. The aim of this study was to prospectively examine the postoperative changes in quality of life (QoL) after a rhinoplasty. Thirty-four patients who underwent septorhinoplasty performed by a single surgeon from July 2015 to October 2018 reported in indication-specific self-developed and different validated questionnaires (FLZM or Fragen zur Lebenszufriedenheit Module, Freiburg Personality Inventor, Rosenberg self-esteem scale, Functional Rhinoplasty Outcome Inventory 17 [FROI-17], and Glasgow Benefit Inventory [GBI]) on the status of their QoL preoperatively (T0) and 6 months' follow-up (T1). Our goal was to assess the difference in psyche and self-esteem and to get objective insights into the effect of the operation. Significant improvements in QoL in terms of general module, health, and appearance were noted. The general part of the FLZM showed increasing T1 values in the sum scores (p = 0.005). With regard to the item “health,” T1 was better than the norm data (p = 0.003). The statistically significant improvement for the item nose appearance (p < 0.0001) after operation and T1 versus reference data (p < 0.010) should be highlighted. The subjective patient ratings showed statistically significant T1 improvements for all items of the FROI-17: overall nose (p < 0.0001), nasal function (p = 0.001), general/further symptoms (p = 0.006), and confidence increased by aesthetic changes (p < 0.0001). Furthermore, the GBI score shows an improved QoL after rhinoplasty (p < 0.0001). Based on the assessment of a variety of disease- and nondisease-specific validated questionnaires, numerous improvements in the QoL of the patients were observed. Therefore, we support septorhinoplasty as a meaningful procedure regarding QoL improvement. The level of evidence is Level II prospective cohort study.



Publication History

Article published online:
11 March 2021

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  • References

  • 1 Kaluskar SK. Evolution of rhinology. Indian J Otolaryngol Head Neck Surg 2008; 60 (02) 101-105
  • 2 Tamir A. Numerical survey of the different shapes of the human nose. J Craniofac Surg 2011; 22 (03) 1104-1107
  • 3 Lohrmann J. Das Gesicht. Online Article (German Language). Accessed September 04, 2020 at: https://www.planet-wissen.de/gesellschaft/kommunikation/koerpersprache/pwiedasgesicht100.html
  • 4 Nahai F. The power of beauty. Aesthet Surg J 2018; 38 (09) 1039-1041
  • 5 Baumann I. Quality of life before and after septoplasty and rhinoplasty. . Laryngorhinootologie 2010; 89: 35-45
  • 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 Henrich G, Herschbach P. Questions on life satisfaction (FLZM)—a short questionnaire for assessing subjective quality of life. Eur J Psychol Assess 2000; 16: 150-159
  • 9 Fahrenberg J, Hampel R, Selg H. Freiburger Persönlichkeitsinventar (8., erweiterte Aufl.). Göttingen: Hogrefe Verlag; 2010
  • 10 Bulut C, Wallner F, Plinkert PK, Baumann I. Development and validation of the functional rhinoplasty outcome inventory 17 (FROI-17). Rhinology 2014; 52 (04) 315-319
  • 11 Gatehouse S. The Glasgow Health Status Questionnaires Manual. Glasgow: MRC Institute of Hearing Research, Glasgow Royal Infirmary; 1998
  • 12 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
  • 13 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
  • 14 Niehaus R, Kovacs L, Machens HG, Herschbach P, Papadopulos NA. Quality of life-changes after rhinoplasty. Facial Plast Surg 2017; 33 (05) 530-536
  • 15 Rosenberg M. Society and the Adolescent Self-Image. Revised edition. Middletown, CT: Wesleyan University Press; 1989
  • 16 Zojaji R, Keshavarzmanesh M, Arshadi HR, Mazloum Farsi Baf M, Esmaeelzadeh S. Quality of life in patients who underwent rhinoplasty. Facial Plast Surg 2014; 30 (05) 593-596
  • 17 American Academy of Facial Plastic and Reconstructive Surgery. 2020 Accessed September 04, 2020 at: https://www.aafprs.org/Media/Press_Releases/Selfies%20Endure%20February%2027,%202020.aspx?WebsiteKey=5d3e122f-6cba-47ca-a903-c75cb1c94f61
  • 18 Sorice SC, Li AY, Gilstrap J, Canales FL, Furnas HJ. Social media and the plastic surgery patient. Plast Reconstr Surg 2017; 140 (05) 1047-1056
  • 19 Chinski H, Chinski L, Armijos J, Arias JP. Rhinoplasty and its effects on the perception of beauty. Int Arch Otorhinolaryngol 2013; 17 (01) 47-50
  • 20 Cole RP, Shakespeare V, Shakespeare P, Hobby JA. Measuring outcome in low-priority plastic surgery patients using Quality of Life indices. Br J Plast Surg 1994; 47 (02) 117-121
  • 21 Stewart EJ, Robinson K, Wilson JA. Assessment of patient's benefit from rhinoplasty. Rhinology 1996; 34 (01) 57-59
  • 22 Moss TP, Harris DL. Psychological change after aesthetic plastic surgery: a prospective controlled outcome study. Psychol Health Med 2009; 14 (05) 567-572
  • 23 Pecorari G, Gramaglia C, Garzaro M. et al. Self-esteem and personality in subjects with and without body dysmorphic disorder traits undergoing cosmetic rhinoplasty: preliminary data. J Plast Reconstr Aesthet Surg 2010; 63 (03) 493-498
  • 24 Phillips KA, Pinto A, Jain S. Self-esteem in body dysmorphic disorder. Body Image 2004; 1: 385-390
  • 25 McKiernan DC, Banfield G, Kumar R, Hinton AE. Patient benefit from functional and cosmetic rhinoplasty. Clin Otolaryngol Allied Sci 2001; 26 (01) 50-52
  • 26 Hills P, Argyle M. Emotional stability as a major dimension of happiness. Pers Individ Dif 2001; 31 (08) 1357-1364
  • 27 Bajaj B, Gupta R, Sengupta S. Emotional stability and self-esteem as mediators between mindfulness and happiness. J Happiness Stud 2019; 20: 2211-2226
  • 28 Baumeister RF, Campbell JD, Krueger JI, Vohs KD. Does high self-esteem cause better performance, interpersonal success, happiness, or healthier lifestyles?. Psychol Sci Public Interest 2003; 4 (01) 1-44
  • 29 Neaman KC, Boettcher AK, Do VH. et al. Cosmetic rhinoplasty: revision rates revisited. Aesthet Surg J 2013; 33 (01) 31-37
  • 30 Alsarraf R. Outcomes research in facial plastic surgery: a review and new directions. Aesthetic Plast Surg 2000; 24 (03) 192-197
  • 31 Günel C, Omurlu IK. The effect of rhinoplasty on psychosocial distress level and quality of life. Eur Arch Otorhinolaryngol 2015; 272 (08) 1931-1935
  • 32 Murrell GL. Correlation between subjective and objective results in nasal surgery. Aesthet Surg J 2014; 34 (02) 249-257
  • 33 Veale D, De Haro L, Lambrou C. Cosmetic rhinoplasty in body dysmorphic disorder. Br J Plast Surg 2003; 56 (06) 546-551
  • 34 van Oene CM, van Reij EJ, Sprangers MA, Fokkens WJ. Quality-assessment of disease-specific quality of life questionnaires for rhinitis and rhinosinusitis: a systematic review. Allergy 2007; 62 (12) 1359-1371
  • 35 Moubayed SP, Ioannidis JPA, Saltychev M, Most SP. The 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) for functional and cosmetic rhinoplasty. JAMA Facial Plast Surg 2018; 20 (01) 37-42
  • 36 Klassen AF, Cano SJ, Schwitzer JA, Scott AM, Pusic AL. FACE-Q scales for health-related quality of life, early life impact, satisfaction with outcomes, and decision to have treatment: development and validation. Plast Reconstr Surg 2015; 135 (02) 375-386