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Columellar Scar Perception in Open Rhinoplasty. Interplay of Scar Awareness, Body Cathexis and Patient Satisfaction

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  • Rhinoplasty
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Abstract

Introduction

Open and closed approaches for rhinoplasty have individual advantages and disadvantages; however, the resultant columellar scar of the open approach is directly considered as a disadvantage. This study focuses on the columellar scar awareness and its implications on overall satisfaction of the patients after open rhinoplasty.

Patients and Methods

A total of 91 patients who have undergone open rhinoplasty were included in this study. A written questionnaire algorithm consisting of 4 sequential questions was applied. Except for the first question [Do you have any scar(s) caused by any trauma, operation or any other reason on your face?], every question was answered on a scale from 1 to 5. The respondents were given the 25-question “Modified Body Cathexis Scale (MBCS)”and their scars graded using the “Columellar Scar Assessment Scale” (CSAS). The data were statistically interpreted.

Results

Of the 91 open rhinoplasty patients, 12 of them responded with a “yes” to the first question reporting their columellar scars. There was no significant difference with regards to patient satisfaction regarding these patients (p > 0.05). However, those who reported the scar yielded a significantly lower MBCS scores. 9 patients declared that they exerted effort to conceal their scars. Those who concealed their scars and those who did not yielded a significant difference in patient satisfaction. The CSAS scores of those who reported the columellar scar were significantly higher than those who did not.

Conclusion

Our study suggests that MBSC can be a valuable tool for determining the impact of outcomes from the patient’s standpoint, and awareness of the columellar scar is not related to patient satisfaction but with bodily perception.

Level of Evidence IV

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 www.springer.com/00266.

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Acknowledgments

A report of this work was presented at National Congress of Turkish Society of Plastic Reconstructive and Aesthetic Surgery, Ankara, Turkey 2015.

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Authors and Affiliations

  1. Department of Plastic, Reconstructive and Aesthetic Surgery, Ondokuz Mayıs University Faculty of Medicine, Kurupelit, 55200, Samsun, Turkey

    Çağlayan Yağmur, Murat Sinan Engin & Ahmet Demir

  2. Department of Psychiatry, Hacettepe University Faculty of Medicine, Ankara, Turkey

    Sertaç Ak

  3. Department of Plastic, Reconstructive and Aesthetic Surgery, Selçuk University Faculty of Medicine, Konya, Turkey

    Nuh Evin

  4. Department of Plastic Reconstructive and Aesthetic Surgery, i Bezm-i Alem Vakıf University Faculty of Medicine, Istanbul, Turkey

    Osman Kelahmetoğlu

  5. FBM Aesthetic Surgery Clinic, Samsun, Turkey

    Hayati Akbaş

Authors
  1. Çağlayan Yağmur
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  2. Sertaç Ak
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  3. Murat Sinan Engin
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  4. Nuh Evin
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  5. Osman Kelahmetoğlu
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  6. Hayati Akbaş
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  7. Ahmet Demir
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Correspondence to Çağlayan Yağmur.

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The authors have no commercial associations, supporting funds or financial disclosures that might pose or create a conflict of interest with information presented in this article.

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The authors received no financial support for the research, authorship and publication of this article.

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Yağmur, Ç., Ak, S., Engin, M.S. et al. Columellar Scar Perception in Open Rhinoplasty. Interplay of Scar Awareness, Body Cathexis and Patient Satisfaction. Aesth Plast Surg 41, 153–160 (2017). https://doi.org/10.1007/s00266-016-0719-5

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  • DOI: https://doi.org/10.1007/s00266-016-0719-5

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