Assessment of Aesthetic Results of 100 Patients Who Underwent Rhinoplasty-Rhinoplasty Outcome Evaluation

Kotzampasakis D, Mantalos P, Kotzampasakis S, Danias N, Nikolopoulos T.

PubMed 29062632 Publisher (DOI)Free full text (PMC)

What this paper says

Among 100 patients surveyed a mean of 6.8 years after cosmetic rhinoplasty, 93 percent scored above 50 percent on a validated satisfaction questionnaire, with a mean score of 82.4 percent.

Overview

Most rhinoplasty satisfaction data comes from the first year or two after surgery. This study asked how results hold up over a much longer span, surveying patients between 3 and 13 years after their operation using a standard questionnaire.

Sections of note

100 patients: 34 men and 66 women, aged 23 to 57 years, mean 34.8.
All were operated on exclusively for aesthetic reasons.
Time since operation ranged from 3 to 13 years, mean 6.8 years.
The instrument was the Rhinoplasty Outcome Evaluation questionnaire, described as simple, reliable, validated, and widely used.
93 patients scored above 50 percent; 67 scored above 80 percent; 7 scored below 50 percent.
Mean score 82.4 plus or minus 1.7 percent, median 87 percent.
Scores declined slightly across age groups and with years elapsed.
Women were significantly more satisfied than men, P 0.03.

What it means for a patient

Satisfaction was high and largely stable across a span of 3 to 13 years in this group.
About 1 in 14 patients scored below the halfway mark.
Men reported lower satisfaction than women here.
Limits: 100 patients from one setting, no comparison group, no preoperative scores, self-reported outcome only, and patients who were unhappy enough to go elsewhere may be underrepresented.

Why this paper matters

Long-term satisfaction data in rhinoplasty is scarce, and this covers a mean of nearly 7 years with a validated instrument. The slight decline over time is worth noting against claims of permanence. Without preoperative scores or a comparison group, the size of the improvement attributable to surgery cannot be read from these numbers.

Terms

Rhinoplasty Outcome Evaluation: A validated six-question survey scoring satisfaction with nose appearance and function.
Validated instrument: A questionnaire tested to show it measures what it claims consistently.
Median: The middle value, less affected by extremes than the mean.
Aesthetic rhinoplasty: Surgery done for appearance rather than breathing.

Summary written by rhinoplasty.cc from the abstract, 2026-09-09; not medical advice. The authors' own abstract follows.

Abstract

Background: To assess the long-term aesthetic results of rhinoplasty and predict the final outcome.

Methods: The sample was composed of 100 patients (34 men and 66 women) between 23 and 57 years old (mean, 34.8) operated on exclusively for aesthetic reasons. The time elapsed from the operation ranged from 3 to 13 years with a mean of 6.8 years. The study used Rhinoplasty Outcome Evaluation questionnaire, a simple, reliable, validated, and widely used inventory.

Results: The vast majority of patients (93%) were satisfied postoperatively with scores > 50% (67 patients had scores > 80%). Only 7 patients had scores less than 50%. The mean score was 82.4 ± 1.7% with a median of 87%. In addition, it seems that the results of the operation remain high through time with a small decline along age groups and years elapsed. Women were found more satisfied than men (P = 0.03).

Conclusions: The study concludes that the results of aesthetic rhinoplasty, if performed by skilled and experienced surgeons, are very satisfying and stable throughout time.

Abstract as indexed by PubMed; the article is open access (PubMed Central).