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Updated: Aug 6, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Nasal deformity and interpersonal problems
J Hern1, J Rowe-Jones, A Hinton
1Departments of Otolaryngology-Head and Neck Surgery, St George's Hospital, London, Guildford, UK. jonathan@dhern.freeserve.co.uk
Patients with nasal deformity undergoing rhinoplasty do not experience more interpersonal relationship difficulties than those undergoing septoplasty. This suggests that improved interpersonal function is not a primary driver for seeking rhinoplasty surgery.
Area of Science:
- Plastic Surgery
- Psychology
- Social Science
Background:
- Facial plastic surgery outcomes are linked to psychological well-being and improved self-perception.
- Negative body image, particularly concerning nasal deformity, may impact interpersonal relationships.
- The role of interpersonal relationship challenges in the decision for rhinoplasty requires further investigation.
Purpose of the Study:
- To investigate whether patients with nasal deformity report more difficulties in interpersonal relationships compared to those without.
- To test the hypothesis that preoperative negative body image associated with nasal deformity leads to interpersonal relationship problems.
Main Methods:
- A prospective trial comparing 27 rhinoplasty patients (with nasal deformity) and 16 septoplasty patients (control group, without nasal deformity).
- Utilized the Inventory of Interpersonal Problems-32 (IIP-32) to assess interpersonal relationship difficulties.
- Statistical analysis to compare IIP-32 scores between the two groups.
Main Results:
- The study found no statistically significant difference in interpersonal relationship difficulties between rhinoplasty and septoplasty patients.
- The null hypothesis, stating both groups originate from the same population regarding interpersonal problems, could not be rejected (total mean score 0.753).
- Patients with nasal deformity did not exhibit greater challenges in their interpersonal relationships.
Conclusions:
- Nasal deformity does not appear to be associated with increased interpersonal relationship difficulties.
- Interpersonal relationship issues may not be a primary justification for undergoing rhinoplasty surgery.
- The psychological benefits of rhinoplasty may stem from enhanced self-perception rather than improved social interactions.
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