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DOI: 10.1055/a-2624-7864
Aesthetic and Psychological Outcomes of Combined Rhinoplasty with Lip Lift

Abstract
This study evaluates the aesthetic and psychological outcomes of combining rhinoplasty with a lip lift, focusing on facial harmony and patient satisfaction. To assess whether the combined procedure improves facial proportions and satisfaction. We hypothesize significant aesthetic and psychological benefits. A retrospective cohort study of 50 female patients (aged 18–49) was conducted, compliant with STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines. Patients underwent combined rhinoplasty and lip lift between April 2021 and October 2024. Pre/post measurements of upper lip length, nasal length, and nasolabial angle were recorded. Patient satisfaction was evaluated via the Visual Analog Scale and composite score. Ethical approval was obtained from Istanbul Aydın University (approval number: 106/2024). Postoperative reductions in lip (−5.72 mm), nasal lengths (−18.8 mm), and an increase in nasolabial angle (+27.36 degrees), were statistically significant. The satisfaction rate was 96%. The combined procedure significantly enhances facial aesthetics and satisfaction, supporting its role in comprehensive facial cosmetic surgery.
Declaeration of GenAI Use
Artificial intelligence (AI), specifically ChatGPT-4 (OpenAI, San Francisco, CA), was utilized to support the preparation of this manuscript. AI assistance was limited to language refinement, formatting guidance, and structural clarity. All clinical interpretations, data analysis, and final content decisions were made exclusively by the authors.
Ethical Approval
Ethical approval for this study was obtained from Istanbul Aydin University (approval number: 106/2024, dated October 23, 2024). The study followed the guidelines outlined in the Declaration of Helsinki, and informed consent was obtained from all patients before their inclusion in the study.
Data Availability Statement
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Informed Consent
All the participants provided written informed consent to participate in the study.
Authors' Contributions
Conception: E.S., A.A.; design: E.S., A.A.; supervision: E.S., A.A.; fundings: None; materials: E.S., A.A.; data collection and/or processing: E.S., A.A.; analysis and/or interpretation: A.A.; literature: E.S., A.A.; review: E.S., A.A.; writing: A.A., E.S.; critical review: E.S., A.A.
Publikationsverlauf
Artikel online veröffentlicht:
17. Juni 2025
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References
- 1 Ramirez S, Cullen C, Ahdoot R, Scherz G. The primacy of ethics in aesthetic medicine: a review. Plast Reconstr Surg Glob Open 2024; 12 (06) e5935
- 2 Yıldız T, Selimen D. The impact of facial aesthetic and reconstructive surgeries on patients' quality of life. Indian J Surg 2015; 77 (Suppl. 03) 831-836
- 3 Omer G, Girolamo S, Hamatofiq B. et al. Functional, cosmetic, and psychological outcomes after rhinoplasty. Plast Reconstr Surg Glob Open 2024; 12 (08) e6057
- 4 Bessler S. Combining rhinoplasty with upper lip-lift using a single incision line. JAMA Facial Plast Surg 2018; 20 (02) 166-167
- 5 Saman M, Sharifi A. The safety and outcomes of simultaneous open rhinoplasty, alar reduction, and upper lip-lift through one surgery. World J Plast Surg 2024; 13 (01) 32-36
- 6 Szychta P. Simultaneous precision rhinoplasty and lip lift for enhanced youthful facial harmony. Eur J Plast Surg 2024; 47: 37
- 7 Pozzi M, Susini P, di Seclì D. et al. Augmentation rhinoplasty and centrofacial lipofilling: our experience (ARCL). J Clin Med 2024; 13 (07) 28
- 8 Sito G, Consolini L, Trévidic P. Proposed guide to lip treatment in Caucasian women using objective and measurable parameters. Aesthet Surg J 2019; 39 (12) NP474-NP483
- 9 Patel AA, Schreiber JE, Gordon AR. et al. Three-dimensional perioral assessment following subnasal lip lift. Aesthet Surg J 2022; 42 (07) 733-739
- 10 Sharma SK, Jehan M, Sharma RL. et al. Anthropometric comparison of nasal parameters between male and female of Gwalior region. IOSR J Dent Med Sci 2014; 16: 57-62
- 11 Quinzi V, Paskay LC, D'Andrea N, Albani A, Monaco A, Saccomanno S. Evaluation of the nasolabial angle in orthodontic diagnosis: a systematic review. Appl Sci (Basel) 2021; 11 (06) 2531
- 12 Ingels K, Orhan KS. Measurement of preoperative and postoperative nasal tip projection and rotation. Arch Facial Plast Surg 2006; 8 (06) 411-415
- 13 Brito ÍM, Avashia Y, Rohrich RJ. Evidence-based nasal analysis for rhinoplasty: the 10-7-5 method. Plast Reconstr Surg Glob Open 2020; 8 (02) e2632
- 14 Fichman M, Piedra Buena IT. Rhinoplasty. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. . Accessed September 2, 2024 at: https://www.ncbi.nlm.nih.gov/books/NBK558970/
- 15 Suh MK, Won JY, Baek JH. Paradigm shift in rhinoplasty with virtual 3D surgery software and 3D printing technology. Arch Plast Surg 2024; 51 (03) 268-274
- 16 Aliyeva A, Yagiz Aghayarov O. Endoscope-assisted rhinoplasty: enhancing precision or extending procedure duration?. Eur Rev Med Pharmacol Sci 2023; 27 (5, Suppl): 19-27
- 17 Fereydooni S, Green A, Wei EX, Rossi-Meyer MK, Kandathil CK, Most SP. Surgical complications in combined rhinoplasty and endoscopic sinus surgery. Int Forum Allergy Rhinol 2024; 14 (10) 1638-1642
- 18 Gubisch W, Dacho A. Fehler und Gefahren: Die ästhetische Rhinoplastik sowie Brauen-, Lid- und -Ohrmuschelkorrektur. [Faults and failure: aesthetic rhinoplasty plus brow, eyelid and conchal surgery] Laryngorhinootologie 2013; 92 (Suppl. 01) S73-S87
- 19 Hamilton FH. Rhinoplasty, blepharoplasty and cheiloplasty in the same patient. Buffalo Med J Mon Rev Med Surg Sci 1849; 4 (08) 459-462
- 20 Pascali M, Marchese G, Diaspro A. The rhino-lip-lifting: a novel proposal for midface profileplasty performed as a single surgical procedure. Facial Plast Surg 2021; 37 (03) 340-347
- 21 Insalaco L, Spiegel JH. Safety of simultaneous lip-lift and open rhinoplasty. JAMA Facial Plast Surg 2017; 19 (02) 160-161
- 22 Wu TJ, Huang YL, Kang YN, Chiu WK, Chen JH, Chen C. Comparing the efficacy of different steroids for rhinoplasty: a systematic review and network meta-analysis of randomized controlled trials. J Plast Reconstr Aesthet Surg 2023; 84: 121-131
- 23 Çelik Ç, Ceylan ME, Aliyeva A, Düzenli U, Dalgıç A. The effect of perioperative IV corticosteroids on hearing outcome following stapedotomy. ENT Updates 2018; 8 (02) 82-87
- 24 Gupta P, Khanna J, Mitramustafi AK, Bhartia VK. Role of pre-operative dexamethasone as prophylaxis for postoperative nausea and vomiting in laparoscopic surgery. J Minim Access Surg 2006; 2 (01) 12-15
- 25 Aldhabaan SA, Hudise JY, Obeid AA. A meta-analysis of pre- and postoperative corticosteroids for reducing the complications following facial reconstructive and aesthetic surgery. Braz J Otorhinolaryngol 2022; 88 (01) 63-82
- 26 Tekin YE, Iyigun E, Karakoc O. The effects of two different cold application times on edema, ecchymosis, and pain after rhinoplasty: a randomized clinical trial. J Perianesth Nurs 2024; 39 (03) 455-460
- 27 Ilce A, Soysal GE, Koybasi Sanal S. Effects of two different cold application methods after rhinoplasty: a randomized clinical trial. Plast Aesthet Nurs (Phila) 2024; 44 (01) 53-58
- 28 Gonchakov GV, Merkulova YA. Otsenka preimushchestv primeneniya gelya Kontraktubeks pri posleoperatsionnykh rubtsakh v sravnenii s otsutstviem sistematizirovannogo mestnogo lecheniya u detei s vrozhdennymi rasshchelinami verkhnei guby i neba. [Evaluation of advantages of Contractubex gel usage for postsurgical scars treatment in comparison with absence of systematized topical scars treatment of kids with congenital cleft lip and palate] Khirurgiia (Mosk) 2020; (04) 88-94