Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty

Background and objectives: Surgical rhinoplasty is a challenging aesthetic procedure, where patient satisfaction is the primary measure of success. This study assessed patients' perceptions of their nose shapes before and after a surgical consultation, using the Face-Q questionnaire. Materials...

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Main Authors: Georges Ziade, Georges Abikanaan, Dayane Daou, Desiree Karam, Elias Keyrouz, Rami Saade
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Advances in Oral and Maxillofacial Surgery
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667147625000263
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author Georges Ziade
Georges Abikanaan
Dayane Daou
Desiree Karam
Elias Keyrouz
Rami Saade
author_facet Georges Ziade
Georges Abikanaan
Dayane Daou
Desiree Karam
Elias Keyrouz
Rami Saade
author_sort Georges Ziade
collection DOAJ
description Background and objectives: Surgical rhinoplasty is a challenging aesthetic procedure, where patient satisfaction is the primary measure of success. This study assessed patients' perceptions of their nose shapes before and after a surgical consultation, using the Face-Q questionnaire. Materials and methods: Patients attending preoperative consultations for primary rhinoplasty completed the Face-Q questionnaire; additional questions included those on nasal symmetry and skin regularity. Subsequently, the same questions were answered after standardized clinical assessment-based photos and measurements. The two sets of answers and demographic data analysis were compared. The study group was stratified by age into younger than or equal to, and older than 21 years, and compared using previously mentioned statistical methods. Results: Forty patients, predominantly women (65 %), with a mean age of 26.5 years, were included. The Face-Q scores significantly changed after the objective assessment (mean change 3.30, p < 0.001). Stratification by age showed statistically significant differences in all questions for participants above 21, while those below 21 exhibited significant changes in all questions except those on columellar symmetry. Conclusion: A preoperative review of a rhinoplasty patient's own nasal features through photographs influenced their perception of their nose, highlighting the importance of preoperative counseling in managing patient expectations effectively.
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series Advances in Oral and Maxillofacial Surgery
spelling doaj-art-c6586d40eebb4299afdf6f7c7725dc7a2025-08-20T03:49:41ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762025-06-011810054010.1016/j.adoms.2025.100540Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplastyGeorges Ziade0Georges Abikanaan1Dayane Daou2Desiree Karam3Elias Keyrouz4Rami Saade5Department of Otolaryngology-Head and Neck Surgery, Lebanese American University School of Medicine, Beirut, LebanonDepartment of Otolaryngology-Head and Neck Surgery, Lebanese American University School of Medicine, Beirut, LebanonDepartment of Anesthesia, American University of Beirut Medical Center– Beirut, LebanonFaculty of Medicine, Holy Spirit University of Kaslik, LebanonDepartment of Otolaryngology-Head and Neck Surgery, Lebanese American University School of Medicine, Beirut, LebanonDepartment of Otolaryngology-Head and Neck Surgery, Lebanese American University School of Medicine, Beirut, Lebanon; Corresponding author.Background and objectives: Surgical rhinoplasty is a challenging aesthetic procedure, where patient satisfaction is the primary measure of success. This study assessed patients' perceptions of their nose shapes before and after a surgical consultation, using the Face-Q questionnaire. Materials and methods: Patients attending preoperative consultations for primary rhinoplasty completed the Face-Q questionnaire; additional questions included those on nasal symmetry and skin regularity. Subsequently, the same questions were answered after standardized clinical assessment-based photos and measurements. The two sets of answers and demographic data analysis were compared. The study group was stratified by age into younger than or equal to, and older than 21 years, and compared using previously mentioned statistical methods. Results: Forty patients, predominantly women (65 %), with a mean age of 26.5 years, were included. The Face-Q scores significantly changed after the objective assessment (mean change 3.30, p < 0.001). Stratification by age showed statistically significant differences in all questions for participants above 21, while those below 21 exhibited significant changes in all questions except those on columellar symmetry. Conclusion: A preoperative review of a rhinoplasty patient's own nasal features through photographs influenced their perception of their nose, highlighting the importance of preoperative counseling in managing patient expectations effectively.http://www.sciencedirect.com/science/article/pii/S2667147625000263Surgical rhinoplastyFace-QNasal shapePreoperative counseling
spellingShingle Georges Ziade
Georges Abikanaan
Dayane Daou
Desiree Karam
Elias Keyrouz
Rami Saade
Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty
Advances in Oral and Maxillofacial Surgery
Surgical rhinoplasty
Face-Q
Nasal shape
Preoperative counseling
title Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty
title_full Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty
title_fullStr Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty
title_full_unstemmed Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty
title_short Impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty
title_sort impact of surgical consultation and counseling on patients perspectives regarding nasal shape and expectations from rhinoplasty
topic Surgical rhinoplasty
Face-Q
Nasal shape
Preoperative counseling
url http://www.sciencedirect.com/science/article/pii/S2667147625000263
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