The Rhinoplasty Satisfaction Puzzle: Analyzing Sociodemographic and Surgical Factors
Selima Ben Youssef *
Department of Maxillofacial Surgery, Charles Nicolle Hospital in Tunis, Tunisia.
Atf Yacoub
Department of Maxillofacial Surgery, Charles Nicolle Hospital in Tunis, Tunisia.
Sarra Meddeb
Department of Maxillofacial Surgery, Charles Nicolle Hospital in Tunis, Tunisia.
Karima Zitouni
Department of Maxillofacial Surgery, Charles Nicolle Hospital in Tunis, Tunisia.
Issam Zairi
Department of Maxillofacial Surgery, Charles Nicolle Hospital in Tunis, Tunisia.
*Author to whom correspondence should be addressed.
Abstract
In a one-year period, 46 consecutive rhinoplasties were performed in the Maxillofacial Surgery Department of Charles Nicolle Hospital, Tunis. A retrospective analysis revealed a high overall satisfaction rate, with an average Rhinoplasty Outcome Evaluation (ROE) score of 69.6 (±18.6) at 6 months postoperatively. Women were twice as satisfied as men, and patients under 35 years old reported higher satisfaction than older patients. Smokers and immunocompromised patients were less satisfied than healthy non-smokers (70% vs. 30%, p = 0.082). Surgical revisions were required in 15.2% of primary rhinoplasty cases, with no revisions needed for secondary procedures. Patients with post-traumatic nasal deformities were more satisfied than those with congenital anomalies (53% vs. 11%, p = 0.379). These results highlight the importance of addressing patient expectations and tailoring surgical approaches to improve outcomes.
Keywords: Rhinoplasty, patient, satisfaction, aesthetic surgery, surgical procedure