Satisfaction Survey in Revision Rhinoplasty Patients: Guiding Features in Patient Selection

Abstract

Background Revision rhinoplasty is a complex issue that involves in-depth listening to patients, gaining patients trust, understanding their psychology, and managing patients expectations and a detailed analysis of deformities. This study aim to measure the satisfaction levels of patients who will undergo revision rhinoplasty surgery and to reveal the main factors that determine satisfaction. Methods The medical records of patients who underwent revision rhinoplasty surgery from January 2021 to April 2022 were obtained from the data system of our institute. SCHNOS (Standardized Cosmesis and Health Nasal Outcomes Survey) questionnaire, consisting of 10 questions and revealing the functional and aesthetic status of the nose, was applied to the patients. Thus, the patients' satisfaction with the operation was revealed through their responses to the survey before and after the surgery. Results When the pre- and post-operative SCHNOS scores of the patients were compared, it was determined that there was a significant decrease in the scores in the other groups, except those who were > 50 years old, those who had 4-5 operations, and those who had a history of psychiatric disease requiring medication use. Within subgroup analysis, the decrease in SCHNOS-Obstruction and SCHNOS-Cosmetic scores was statistically significant in those aged between 18 and 29 and 30-39 years, in those with both genders, in those with 2-3 operations, in those with aesthetic + functional reasons for the need for revision, and in those without a history of psychiatric illness requiring drug use. Conclusions This study highlights the complexities of septorhinoplasty, particularly in revision surgeries, where achieving optimal cosmetic results is challenging. While patients generally report improved satisfaction and reduced symptoms, factors like age, psychiatric history, and the balance of aesthetic and functional expectations significantly influence satisfaction levels.Level of evidence: Not ratable