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Assessing Patient-Reported Satisfaction with Appearance and Quality of Life following Rhinoplasty Using the FACE-Q Appraisal Scales

Schwitzer, Jonathan A. B.A.; Sher, Sarah R. M.D.; Fan, Kenneth L. M.D.; Scott, Amie M. M.P.H.; Gamble, Laurie B.A.; Baker, Stephen B. M.D., D.D.S.

Plastic and Reconstructive Surgery: May 2015 - Volume 135 - Issue 5 - p 830e–837e
doi: 10.1097/PRS.0000000000001159
Cosmetic: Original Articles

Background: Patient satisfaction with appearance and improved quality of life are primary outcomes in cosmetic surgery. The purpose of this study was to assess changes in patient satisfaction with facial and nose appearance, and quality of life following rhinoplasty.

Methods: Patients presenting for rhinoplasty completed the FACE-Q, a new patient-reported outcome instrument composed of scales that measure outcomes in patients undergoing facial cosmetic procedures. The following FACE-Q scales were used: satisfaction with facial appearance overall, satisfaction with nose, psychological well-being, and social function.

Results: Fifty-six patients completed the FACE-Q at the time of their preoperative consultation and/or at postoperative follow-up visits. Among all patients presenting for rhinoplasty, FACE-Q scores (range, 0 to 100) increased following the procedure in satisfaction with facial appearance (+26.5; p < 0.01), psychological well-being (+15.7; p < 0.01), and social function (+13.7; p = 0.03). Satisfaction with nose item scores (range, 1 to 4) all increased significantly from before to after rhinoplasty, including in satisfaction with nose appearance in the mirror (+1.4; p < 0.01), size (+1.1; p < 0.01), shape (+1.5; p < 0.01), profile (+1.6; p < 0.01), and in photographs (+1.6; p < 0.01). Similar results were seen among a subgroup of patients who completed the FACE-Q scales both before and after rhinoplasty.

Conclusions: In an objective study using a validated patient-reported outcome instrument, improvements in satisfaction with facial and nose appearance and quality of life were demonstrated among rhinoplasty patients. This model supports the successful outcomes possible in rhinoplasty.


New York, N.Y.; and Washington, D.C.

From the Department of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center; and the Department of Plastic Surgery, Georgetown University Hospital.

Received for publication July 29, 2014; accepted October 23, 2014.

Presented at the 19th Annual Rhinoplasty Symposium, a joint presentation by the Rhinoplasty Society and the American Society for Aesthetic Plastic Surgery, in San Francisco, California, April 25, 2014.

Disclosures: None of the authors has a financial interest in any of the products or devices mentioned in this article.

Stephen B. Baker, M.D., D.D.S., Department of Plastic Surgery, Georgetown University Hospital, PHC1st 3800 Reservoir Road NW, Washington, D.C. 20007-2113,

©2015American Society of Plastic Surgeons