Effects of aesthetic rhinoplasty on quality of life, anxiety/depression, and self-esteem of the patients

  • Mostafa Hashemi
  • Neda Sakhi
  • Hossein GhazaviEmail author
  • Paria Bolourinejad
  • Gholamreza Kheirabadi
Original Paper



Psychological functioning of rhinoplasty must be evaluated in the community of Iran as the most prevalent center of rhinoplasty worldwide. Making a realistic public view about rhinoplasty psychological outcomes is necessary. In the present study, quality of life, anxiety, depression, and self-esteem alteration in rhinoplasty patients among the Iranian population were assessed.


This is an observational trial study conducted on 41 patients who underwent rhinoplasty in 2017–2018. The Persian version of standard questionnaires “World Health Organization Quality of Life (WHOQOL-26),” “Hospital Anxiety and Depressive Scale (HADS),” and “Eysenck Self-Esteem Questionnaire” were used for this aim. Therefore, questionnaires were filled pre and within 6 months postoperatively and then compared. Demographics including age, gender, marital status, and educational level association with the mentioned factors were assessed as well.


The results revealed that rhinoplasty brought significant improvements in all aspects of QOL, including physical (P value = 0.011), psychological (P value = 0.002), relationships (P value = 0.019), environment (P value = 0.032), and general health (P value = 0.005). Depression (P value = 0.010) and self-esteem (P value = 0.004) scores change significantly in a positive manner as well. Anxiety improvement was the least (6.8%) with no significant change (P value = 0.334). None of the demographics including age, gender, marital status, and educational level showed association with psychological indices (P value > 0.05) except for age association with relationships domain of WHOQOL that was significantly higher among those younger than 30 years old (P value = 0.040).


Rhinoplasty can improve most of the psychological indices in the Iranian population, regardless of the candidate’s gender, marriage status, educational level, or age group.

Level of evidence: Level II, therapeutic study.


Rhinoplasty Quality of life Anxiety Depression Self-esteem Psychology 


Compliance with ethical standards

Conflict of interest

Dr. Hashemi, Dr. Ghazavi, and Dr. Kheirabadi are employed by Isfahan University of medical science. The authors otherwise have no potential conflicts of interest concerning the research, authorship, and publication of this article.

Ethical approval

This research was approved by the ethical committee of Isfahan University of Medical Sciences.

Informed consent

The patients gave informed consent for entering the study.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otolaryngology - Head and Neck Surgery, School of MedicineIsfahan University of Medical SciencesIsfahanIran
  2. 2.Student Research Committee, School of MedicineIsfahan University of Medical SciencesIsfahanIran
  3. 3.Behavioral Sciences Research Center, Department of Psychiatry, School of MedicineIsfahan University of Medical SciencesIsfahanIran

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