Nonsurgical Rhinoplasty: A RealSelf Social Media Analysis

Abstract

Patients use social media to report on medical care and rate their satisfaction with cosmetic procedures and providers. Currently, there are few studies that examine the satisfaction of nonsurgical rhinoplasty. This study aims to identify variables of patients’ choice and satisfaction of the nonsurgical rhinoplasty procedure through social media reviews. Data were extracted from 420 nonsurgical rhinoplasty reviews from RealSelf.com from March 2017 to April 2020. Recorded variables include patient demographics, price, nasal deficiency, patient-described improvement after injection, and physician characteristics influencing patients’ decision making. Of the data extracted from the reviews, 85% of reviewers were women, with a mean age of 27.4 years (SD, ±8.7 years). Eighty-four percent of reviewers had the procedure performed in the United States (84%). The mean cost was $1074 (SD, ±$733.20; median, $850). The most common patients’ deficiencies for this procedure include a “nasal hump” for 31.2% of reviewers and a “bump or dent” in the nose for 35.1% of reviewers. The procedure outcomes commonly noted were a positive change in “shape” of their nose (66.0%), improved confidence (44.4%), and improvement in profile (34.0%). The predominant reasons reviewers chose their injector were (1) favorable injector demeanor (63%) and (2) ability of the injector to provide emotional reassurance (49%). In all, 95.6% considered nonsurgical rhinoplasty “worth it.” Ninety-five percent of online reviewers stated that nonsurgical rhinoplasty was “worth it,” with an average cost of $1074, minimal post-procedure recovery time, and minimal pain. The most common nasal deficiency includes a bump, a hump, and a crooked shape. The most commonly stated improvement was in the shape of the nose. This demonstrates the utility of nonsurgical rhinoplasty for correction of a wide variety of nasal deficiencies. In the analysis of provider characteristics, the most important aspect was the provider’s demeanor. Patients used words like “warm,” “welcoming,” and “understanding of their desires.” They described feeling “comfortable” with the provider. The most important factor for selecting a provider was the emotional connection between the provider and the patient. Satisfaction of nonsurgical rhinoplasty is high, which corroborates reported satisfaction rates in the literature. Nonsurgical rhinoplasty exhibits significant versatility in the defects it can improve. Many patients chose their provider for their personality and emotional connection formed.

Subnasal Lip Lift: A RealSelf Social Media Analysis

“…10-12 Furthermore, prior work specifically investigated how patients choose their surgeons for rhytidectomies and nonsurgical rhinoplasties, with emphasis placed on surgeon personality/demeanor as well as ability to establish rapport and answer questions during the preoperative consultation. 4,5 Our results add to this body of literature for the surgical lip lift as these patients, likewise, seem to rely very strongly on their interaction with the surgeon and the surgeon’s personality, as well as on the surgeon’s skills and credentials. This underscores the need for surgeons to establish a good rapport with patients in the preoperative period.…”

“…Honeybrook et al and Husain et al previously examined these factors as they relate to rhytidectomy and nonsurgical rhinoplasty, respectively. 4,5 In a chart review of 823 patients from the author’s practice, Talei demonstrated that the upper lip lift can produce a younger and more sensual appearance, with easily reproducible results and low complication rates. 2 Yamin et al completed a systematic review (17 studies, with 2265 total patients) on the aesthetic aspect of the upper lip subunit and found that the studies reported improvement in the aesthetic appearance of the upper lip after surgical enhancement, along with “few but promising reports of high patient satisfaction.” 6 Patient satisfaction was reported in the review on a Likert scale including “very satisfied” and “satisfied,” with patient satisfaction in these 2 points reported at 92.1%.…”

Effect of clinical photography on postprocedure patient satisfaction in female patients who underwent nonsurgical rhinoplasty

“…This method is considerably successful in the presence of a low nasal tip, dorsal hump, and low radix 2,3 . In recent years, the increased use of social media and attempts to improve visual appearance using filters continue to increase the popularity of nonsurgical rhinoplasty 4 . Although nonsurgical rhinoplasty is not intended to be performed as a substitute for surgical rhinoplasty, it has gained increasing popularity among patients seeking immediate results, minimal recovery time, and affordable costs 5 …”

“…2,3 In recent years, the increased use of social media and attempts to improve visual appearance using filters continue to increase the popularity of nonsurgical rhinoplasty. 4 Although nonsurgical rhinoplasty is not intended to be performed…”