What motivates secondary rhinoplasty? A study of 150 consecutive patients

Plastic and Reconstructive Surgery
Mark B Constantian

Abstract

There is little evidence-based information on secondary rhinoplasty patient motivations for surgery, satisfaction, or revision rates. The charts of 150 consecutive patients (121 women and 29 men) who underwent secondary rhinoplasty between July of 2007 and October of 2008 were reviewed; preoperative deformity severity was graded from 1 to 5. The patients' primary reasons for surgery, patient and surgeon satisfaction, and postoperative depression or body dysmorphic disorder were tallied. The average number of prior operations was 3.6. The most commonly expressed reason (41 percent) for undergoing revision was the development of a new deformity after the primary rhinoplasty. Those patients also had the most severe preoperative deformities (p < 0.02). Other motivations were failure to correct the original deformity (33 percent), an intolerable perceived loss of personal, familial, or ethnic characteristics (15 percent), the desire for further improvement in an already acceptable result (10 percent), and a new or unrelieved airway obstruction (1 percent). Ninety-seven percent of patients were happy with their outcomes. Forty patients (27 percent) were depressed before surgery and three (2 percent) displayed evidence of body dysmorp...Continue Reading

Citations

May 30, 2013·Plastic and Reconstructive Surgery·Paolo PersichettiVito Toto
Nov 28, 2013·Plastic and Reconstructive Surgery·Mark B Constantian
Dec 3, 2013·Facial Plastic Surgery Clinics of North America·Peter A AdamsonSteven Pearlman
Jan 17, 2016·Aesthetic Surgery Journal·Christopher J CoroneosAchilleas Thoma
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May 25, 2016·Plastic and Reconstructive Surgery·Michelle Lee, Bahman Guyuron
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Jul 17, 2021·Plastic and Reconstructive Surgery·Stefan HackerSebastian Haack
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Nov 19, 2021·Ear, Nose, & Throat Journal·Ibrahim AlAwadhBadi AlDosari

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