The Effect of Psychosocial Factors on Rhinoplasty Outcomes.

[BACKGROUND] Rhinoplasty patients are reported to have higher rates of psychological disorders. Psychosocial concerns may hinder positive outcomes after rhinoplasty.

[OBJECTIVE] The aim of the study was to assess the impact of psychosocial factors on outcomes after cosmetic and functional rhinoplasty.

[METHODS] A retrospective chart review was conducted on 554 rhinoplasty patients operated on by a single surgeon.

[RESULTS] 21.5% of rhinoplasty patients had a psychiatric comorbidity, with anxiety (11.3%) and depression (10.0%) being most prevalent. The mean follow-up duration was 363 days. 12.9% of patients requested revision, and 5.6% underwent revision surgery. Younger age, male sex, and functional indication for rhinoplasty were associated with earlier loss of patient follow-up. Cosmetic indication for surgery was associated with increased revision requests. Psychiatric comorbidities were not associated with differential rates of follow-up, revision request, or revision surgery.

[CONCLUSIONS] Psychiatric comorbidities did not affect outcomes following rhinoplasty. Several patient factors associated with loss of follow-up and revision surgery were identified, including younger age, male sex, and indication for surgery.