PSYCHOLOGICAL PREDICTORS OF DISSATISFACTION WITH THE RESULTS OF RHINOPLASTY

Abstract

In the article, the authors analyzed the results of a survey of individuals who referred to a plastic surgeon for cosmetic rhinoplasty, as well as the authors evaluated the satisfaction of the operation. All patients, depending on the presence or absence of cosmetic defects of the nose, were divided into two groups: the first (I) – 69 individuals (men – 30, women – 39, aged 19 to 50 years), with visible defects and deformations of the external nose, which deviated from the established aesthetic norms accepted in cosmetology, but did not distort the appearance of the face and did not violate the physiological functions of the nose; the second group (II) – 30 individuals (men – 14, women – 16, aged 19 to 30 years) who do not have cosmetic defects of the nose, however these individuals fixed unreasonably great attention on their nose, were categorically dissatisfied with it, as well as persistently demanded to change its shape. In accordance with the results of the study, the authors showed that the vast majority of the examined individuals, who referred to a plastic surgeon for rhinoplasty, have mental disorders of the nonpsychotic register, which differed depending on the presence or absence of defects and deformities of the nose. Based on the results of the study, the authors determined the predictors of the negative psychological consequences of rhinoplasty and dissatisfaction with its results (dysmorphophobia, limitation of social functioning, repeated rhinoplasty with an unrealistic expectation of results, high levels of depression and anxiety) and suggested a screening questionnaire for the timely identification of patients who would not be satisfied with a successful surgical intervention.

Keywords

• rhinoplasty
• satisfaction
• screening questionnaire.