Dr. Nayan Mahato
Asst. Professor, Department of ENT-HNS, Kathmandu Medical College, Kathmandu, Nepal
Rhinoplasty, sometimes referred to as a “nose job” or “nose reshaping” is the surgery to change the shape of your nose by modifying the bone or cartilage. If your rhinoplasty is being done for cosmetic purpose rather than your health, you should wait until your nasal bone is fully grown. For girls, this is about age 15 and for boys might still be growing until they’re a bit older. However, if you’re getting surgery because of a breathing impairment, rhinoplasty can be performed at a younger age. Although rhinoplasty is a relatively safe and easy procedure but healing is a bit longer period. Nasal tip is especially sensitive and can remain numb and swollen for months. You might be fully recovered in a few weeks, but some effects can linger for months. It could be a whole year before you can fully appreciate the end result of your surgery.
Rhinoplasty is one of the most common types of plastic surgery that enhances facial harmony and the proportions of nose. The main aim of rhinoplasty is to make improvement in the shape of nose in relation to facial structures and not the perfection. Rhinoplasty is an operation that requires experience, good aesthetic perception, and continuous training by the surgeon. The most important factor that influences success is probably your choice of rhinoplasty surgeon and realistic expectations of the patients. The main objective of this study is to assess the aesthetic satisfaction among patients undergoing rhinoplasty.
This is a prospective study of 107 patients (56 male and 51 female) between 18 to 45 years who underwent rhinoplasty in tertiary care center of Kathmandu, Nepal in 15 months of time duration. Seventy five (70%) patients underwent open approach and 32(30%) patients underwent closed approach rhinoplasty. The patients were pre and post-operatively (after 3 months) assessed via ROE (Rhinoplasty Outcome Evaluation) questionnaire by interview to find out the level of satisfaction. The questionnaire has 6 questions and each question has five options between 0 and 4. For all six questions total score was calculated and divided by 24 and multiplied by 100 (Zero represents minimum satisfaction and 100 the maximum one) to find out the final result. The results were statistically analysed.
In our study preoperative satisfaction level was below 50 (poor) in 99 (92.5%) patients. One hundred two (95.2%) postoperative patients had excellent and good results. Preoperative satisfaction in male patients was 6.40 (26.7%) and postoperative satisfaction in male patient was 19.52 (81.33%). Preoperative satisfaction in female patients was 6.10 (25.41%) and postoperative satisfaction in female patient was 16.0 (66.67%). The minimal preoperative satisfaction value was 5 (20.80%) and maximum postoperative satisfaction value was 23 (95.83%). The average preoperative satisfaction in patients was 6.25 (26.04%) and the average postoperative satisfaction in patients was 17.76 (74.0%). Male patients were found to be more satisfied with their results than female patients. In overall patients, the postoperative results was statistically significant (p=0.000).
The study concludes that the level of aesthetic satisfaction significantly increases after rhinoplasty if performed by well experienced and skilled surgeon.
Keywords: ROE, Rhinoplasty, Satisfaction