Quality of Life after Rhinoplasty: A Prospective Study

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.

Generic Health-Related Quality-of-Life Changes after Rhinoplasty: A Prospective Study with Long-Term Results

“…Interestingly, the findings of our study, which detected an increase in EQ-5D VAS score larger than 9.5 in the cohort of all patients included in the study, in the group of patients with NAO before surgery, and in the group of patients with septal correction but not in the groups of patients in which the increase of EQ-5D VAS after surgery was not significant (►Table 1), corroborate the MCID of the EQ-5D VAS score as defined by Fuller et al 11 An improvement of generic HRQoL after rhinoplasty was also demonstrated by studies using EQ-5D VAS, 12 World Health Organization Quality-of-Life Scale (WHOQOL) 13,14 and Glasgow Benefit Inventory (GBI). [15][16][17][18] Contrary to the findings of these studies, Zojaji et al used General Health Questionnaire and WHOQOL to assess changes after aesthetic rhinoplasty and could find no improvement in HRQoL except for the psychologic-related health domains. 19 Studying long-term changes of generic HRQoL after septorhinoplasty, Bulut et al found an improvement in six SF-36 domains: physical functioning, physical limitation, pain, energy, social functioning and well-being, but not on general Abbreviations: CI, confidence interval; SD, standard deviation.…”

A Comparative Analysis of Body Image, Life Satisfaction and Self-Esteem of Patients Before and After Rhinoplasty

“…5 The rhinoplasty satisfaction outcome evaluation is complicated, especially when different consultants Rhinoplastic changes in the nose's shape significantly increase individuals' self-confidence, and some studies suggested that the quality of life also improves after rhinoplasty. 7 A significant correlation between body image and mantle health before and after rhinoplasty was also reported. 8 Some researchers also showed significant improvement in body image and self-esteem after surgery.…”

What We Have Lost by Forgetting Endonasal Rhinoplasty

“…16 Fortunately, additional studies have appeared, of which we have only cited a few. 20 21 22 23 24 25 26 27 28 This is a significant recent improvement.…”