Assessment of Functional and Aesthetic Results in Preservation and Structural Rhinoplasty.

The philosophy of preservation rhinoplasty (PR) is gaining popularity as an alternative to structural rhinoplasty (SR), prompting comparison of their effectiveness, patient satisfaction, and impact on quality of life. This study evaluated the outcomes of rhinoplasty performed using PR and SR, supported by the SCHNOS, ROE, NOSE, and WHOQOL-BREF questionnaires. Seventy-five patients were included (N = 47 (63%) female and N = 28 (37%) male), of whom 39 underwent SR. Surveys were completed preoperatively and at one and three months postoperatively. A single surgeon performed all procedures, and the results were subjected to statistical analysis. Baseline ROE scores were identical in both groups (1.2 vs. 1.2; > 0.05). At three months, PR demonstrated significantly higher ROE scores (3.8 vs. 3.7; < 0.05). In the SCHNOS-Obstruction domain, PR showed better outcomes at one month (0.8 vs. 1.3; < 0.01), whereas three-month scores were equal (0.5 vs. 0.5; > 0.05). SCHNOS-Cosmesis and NOSE outcomes did not differ significantly at any point. WHOQOL-BREF results indicated significant postoperative improvement across all domains in both groups ( < 0.001). PR provides higher early satisfaction, but both PR and SR yield progressive improvement and comparable longer-term outcomes. Quality of life and self-esteem improved regardless of surgical technique.