Effects of aesthetic rhinoplasty on quality of life, anxiety/depression, and self-esteem of the patients
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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.
KeywordsRhinoplasty 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.
This research was approved by the ethical committee of Isfahan University of Medical Sciences.
The patients gave informed consent for entering the study.
- 5.Sözen T, Tahir E, Cabbarzade C, Kuşçu O (2017) Factors determining patient satisfaction in rhinoplasty: analysis of 506 cases with rhinoplasty outcome evaluation. Acta Med Austriaca 48(4):1–5Google Scholar
- 19.Nejat S, Montazeri A, Holakouie Naieni K, Mohammad K, Majdzadeh S (2006) The World Health Organization quality of life (WHOQOL-BREF) questionnaire: translation and validation study of the Iranian version. J School Public Health Institut Public Health Res 4(4):1–12Google Scholar
- 20.Kaviani H, Seyfourian H, Sharifi V, Ebrahimkhani N (2009) Reliability and validity of anxiety and depression hospital scales (HADS) &58; Iranian patients with anxiety and depression disorders. Tehran Univ Med J 67(5):379–385Google Scholar
- 21.Biabangard E (1997) The methods of increasing self-esteem in children and adolescents. Tehran: Islamic Republic of Iran Guardians and Teachers Society 19Google Scholar