Aesthetic Plastic Surgery

, Volume 42, Issue 6, pp 1635–1647 | Cite as

Systematic Review of Quality-of-Life Measurement After Aesthetic Rhinoplasty

  • Matthias S. WähmannEmail author
  • Olcay C. Bulut
  • Gregor M. Bran
  • Johannes A. Veit
  • Frank Riedel
Original Article Rhinoplasty



The assessment of outcomes in aesthetic rhinoplasty is highly relevant because patient satisfaction and improved health-related quality of life (QoL) are the predominant factors in determining success. The patient-reported outcome measures (PROMs) employed in rhinoplasty research studies are remarkably diverse, thus yielding difficulties with data analysis. The aim of this article is to provide a comprehensive review of the literature to reveal the relevance of the QoL assessment for rhinosurgeons.


A systematic literature search with the terms “Rhinoplasty” and “Quality of Life” was conducted using PubMed/MEDLINE, Google Scholar and Cochrane databases. Primarily, all publications related to QoL following aesthetic rhinoplasty between 2002 and 2017 were identified. As a secondary selection, we focused on articles with a prospective study design, a significant cohort size (at least 50 patients) and a follow-up period of at least 6 months after aesthetic rhinoplasty.


A total of 62 PROM studies assessing QoL following aesthetic rhinoplasties were obtained. We ascertained an increasing publication rate of QoL articles over the last 15 years. Only 17 studies satisfied comprehensive inclusion criteria of a high qualitative study selection. The Rhinoplasty Outcome Evaluation was the most frequently used QoL questionnaire of the secondary selection (70.6%). The total number of 16 various questionnaires exhibit high heterogeneity.


Our data strengthen the increasing importance of the assessment of QoL after rhinoplasty. Despite a lack of reliable publications with considerable heterogeneity and large variability in outcomes, functional-aesthetic rhinoplasty leads to a significant improvement of patient’s health-related QoL.

Level of Evidence II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Rhinoplasty Patient satisfaction Systematic review Outcome assessment Quality of life 



The authors do not have any commercial associations that might pose or create a conflict of interest with information presented in this article.


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© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.HNO-Zentrum Rhein-NeckarMannheimGermany
  2. 2.Department of OtorhinolaryngologySLK-Kliniken HeilbronnHeilbronnGermany
  3. 3.Department of Otorhinolaryngology, Head and Neck SurgeryUniversitaetsklinikum MannheimMannheimGermany

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