Facial plast Surg 2017; 33(05): 530-536
DOI: 10.1055/s-0037-1606572
Rapid Communication
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Quality of Life—Changes after Rhinoplasty

Richard Niehaus1, Lazlo Kovacs1, Hans-Günther Machens1, Peter Herschbach2, Nikolaos A. Papadopulos1
  • 1Department of Plastic Surgery and Hand Surgery, University Hospital Rechts der Isar, Munich Technical University, Munich, Germany
  • 2Roman-Herzog-Krebszentrum Comprehensive Cancer Center (RHCCC), Munich Technical University, Munich, Germany
Weitere Informationen


29.September 2017 (online)


Our study group has researched for >10 years in the field of Quality of Life after plastic, aesthetic, and reconstructive surgery, asking the following questions: “Does aesthetic surgery improve the Quality of Life?” and “Can a higher Quality of Life offset the risk of surgical procedures.” As part of our series of studies examining the correlation of cosmetic surgery and the postoperative well-being, this study examines the influence of rhinoplasty, as a single indication, specifically on the Quality of Life (QoL) of patients. The data of 90 patients who underwent rhinoplasty between 1997 and 2007 were prospectively collected and were retrospectively analyzed. For a competitive analysis, our evaluation was divided into the following five parts: a self-developed indication-specific questionnaire and the standardized instruments Glasgow Benefit Inventory (GBI), Questions on Life SatisfactionModules (FLZM), Freiburg Personality Inventory (FPI-R), and Rosenberg Self-Esteem Questionnaire (RSES). Numerous improvements in patients' QoL were observed. The result of the GBI (17.19) based on a scale –100 to 100 indicates an improved QoL after rhinoplasty. Significant improvements in the item relationship/sexuality were shown in the general part of the FLZM (p = 0.042). The average score (6.32) on a scale of 0 to 14 in the FPI-R questionnaire resulted in a common emotionality and self-assessment, while the RSES (33.64) on a scale 10 to 40 indicated a high self-confidence and a statistically significant improvement (p = 0.0001) compared with German norm data. The knowledge of positive social and psychological benefits and an improved sexuality in the partnership support the meaningfulness of rhinoplasty.

Clinical Question/Level of Evidence

Therapeutic, III: Retrospective cohort or comparative study.