The Effect of Psychosocial Factors on Rhinoplasty Outcomes.

Abstract

Rhinoplasty patients are reported to have higher rates of psychological disorders. Psychosocial concerns may hinder positive outcomes after rhinoplasty. The aim of the study was to assess the impact of psychosocial factors on outcomes after cosmetic and functional rhinoplasty. A retrospective chart review was conducted on 554 rhinoplasty patients operated on by a single surgeon. 21.5% of rhinoplasty patients had a psychiatric comorbidity, with anxiety (11.3%) and depression (10.0%) being most prevalent. The mean follow-up duration was 363 days. 12.9% of patients requested revision, and 5.6% underwent revision surgery. Younger age, male sex, and functional indication for rhinoplasty were associated with earlier loss of patient follow-up. Cosmetic indication for surgery was associated with increased revision requests. Psychiatric comorbidities were not associated with differential rates of follow-up, revision request, or revision surgery. Psychiatric comorbidities did not affect outcomes following rhinoplasty. Several patient factors associated with loss of follow-up and revision surgery were identified, including younger age, male sex, and indication for surgery.