The Saudi Population's Preferences: Otolaryngologist vs. Plastic Surgeons for Rhinoplasty

Rhinoplasty is a popular cosmetic surgery worldwide, performed by both otolaryngologists (ENT specialists) and plastic surgeons. In Saudi Arabia, this study aims to explore the population's preferences regarding the two specialties, factors influencing their decisions, and the role of media in shaping these preferences.

Explore Saudi patients' preferences for otolaryngologists versus plastic surgeons in rhinoplasty, examine perceptions of each specialty's expertise, assess the impact of factors such as cost and experience on decision-making, and identify the sources of information patients use.

This cross-sectional study involved 402 participants from Saudi Arabia, aged 18-80 years, selected using simple random sampling. Data were collected through an anonymous self-administered electronic questionnaire distributed via social media platforms. Data were analyzed using SPSS version 27 (IBM Corp., Armonk, NY), with statistical significance set at P < 0.05.

The majority of participants (219, 54.7%) believed ENT surgeons were associated with fewer complications and higher success rates (203, 50.5%) for rhinoplasty. However, 212 (57.2%) respondents preferred plastic surgeons for aesthetic outcomes. The most important decision-making factors were surgeon experience (369, 91.8%), recommendations from medical professionals (312, 77.6%), and cost (221, 55%). Gender and region significantly influenced knowledge scores (P = 0.021 and P = 0.041, respectively), while marital status was associated with decision-making factors (P = 0.035). Media and personal referrals played a substantial role in shaping preferences, with 173 (43%) participants affirming media influence on their selection process.

Preferences for ENT specialists are primarily driven by functional considerations, whereas plastic surgeons are preferred for aesthetic purposes. Gender, region, and marital status play significant roles in shaping preferences. Media and personal recommendations are critical sources of information. Future studies should examine long-term patient satisfaction and how advancements in cosmetic surgery influence population preferences for rhinoplasty surgeons.