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Visual Attention in Rhinoplasty: Eye-Tracking Comparison of Patients and Physicians on Profile Images
Burak Numan Ugurlu1, Gulay Aktar Ugurlu2, Eda Simsek3
1Department of Otolaryngology, Private Clinic, Çorum, Turkey. bnumanugurlu@gmail.com.
Aesthetic Plastic Surgery
|December 18, 2025
Summary
Patients and rhinoplasty surgeons visually focus on different nasal areas, with patients concentrating on the tip and surgeons on the radix. Eye-tracking reveals these differences, potentially improving aesthetic alignment.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Ophthalmology
Background:
- Visual attention significantly impacts aesthetic perception in rhinoplasty.
- Patient expectations and satisfaction are influenced by visual assessment of facial profiles.
Purpose of the Study:
- To compare visual assessment patterns of facial profiles between rhinoplasty patients and surgeons.
- To utilize eye-tracking technology to objectively measure visual attention in rhinoplasty.
Main Methods:
- A cross-sectional observational study involving 26 patients and 13 otolaryngologists.
- Participants viewed 21 standardized lateral facial profile photographs.
- Eye-tracking technology recorded visual attention across ten facial regions, analyzing fixation area, duration, and count.
Main Results:
- Both groups predominantly focused on the nasal region.
- Patients showed significantly greater visual engagement with the nasal tip (longer viewing time, more fixations).
- Surgeons exhibited greater visual focus on the nasal radix (longer viewing time, more fixations).
Conclusions:
- Patients and surgeons exhibit distinct visual preferences regarding specific nasal regions.
- Eye-tracking technology can objectively identify these differences, aiding in aligning aesthetic expectations in rhinoplasty.
