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The Effect of Psychosocial Factors on Rhinoplasty Outcomes
Phillip Q Richards1, Nessreen Ghanem, Jennifer N Shehan1
1From the Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Boston University School of Medicine, Boston, MA.
Annals of Plastic Surgery
|March 14, 2025
Summary
Psychiatric comorbidities did not impact rhinoplasty outcomes. Factors like younger age, male sex, and surgical indication influenced follow-up and revision rates in rhinoplasty patients.
Area of Science:
- Plastic Surgery
- Psychiatry
- Patient Outcomes
Background:
- Rhinoplasty patients exhibit higher rates of psychological disorders.
- Psychosocial factors may negatively influence post-rhinoplasty outcomes.
Purpose of the Study:
- To evaluate the effect of psychosocial factors on cosmetic and functional rhinoplasty outcomes.
- To identify patient-specific predictors of revision surgery and follow-up adherence.
Main Methods:
- Retrospective chart review of 554 rhinoplasty patients.
- Analysis of psychiatric comorbidities, follow-up duration, and revision rates.
Main Results:
- 21.5% of patients had psychiatric comorbidities (anxiety, depression most common).
- Younger age, male sex, and functional indication correlated with lost follow-up.
- Cosmetic indication linked to higher revision requests; psychiatric comorbidities did not impact outcomes.
Conclusions:
- Psychiatric comorbidities do not adversely affect rhinoplasty outcomes.
- Patient age, sex, and surgical indication are key factors in rhinoplasty follow-up and revision.
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