Examining Mental Health Changes Before and After Rhinoplasty: An Analytical Study

Abstract

This study aimed to explore the mental health status of individuals seeking rhinoplasty before and 3 months after surgery. This study was conducted in 2022 at Velayat Hospital, involving patients aged 18–60 who were seeking rhinoplasty, selected using convenience sampling method. Exclusion criteria included prior nasal surgery and severe psychiatric disorders without clearance from a psychiatrist. The Symptom Check List-90-Revised questionnaire was employed to assess psychological disorders across 9 dimensions. Sixty patients were examined, consisting of 14 men and 46 women, with an average age of 31 years. A substantial 83.3% of participants sought rhinoplasty solely for cosmetic reasons, whereas 16.7% cited both cosmetic and breathing issues as motivations. Initially, 59 patients had scores indicating “good” mental health, with one showing “moderate” mental health. Three months after the surgery, all patients scored within “good” mental health. The findings revealed significant improvements in various dimensions of mental health, including depression, anxiety, and obsessive compulsive symptoms, with the exception of paranoid ideation. All three primary indicators of mental health demonstrated significant decrease post-surgery. The study highlights the positive impact of rhinoplasty on the mental health of patients, particularly among women, individuals over 20, and non-smokers. Notable improvements were observed across various mental health dimensions, with significant enhancements reported three months post-surgery. However, the findings underscore the need for careful consideration of psychological conditions when selecting candidates for surgery. Limitations, including a small male sample and lack of a control group, suggest further research is necessary.

Keywords

Iran / mental health / plastic surgery / Rhinoplasty

References

[1] Akhavan Abiri, F., and M. R. Shairi. 2020. “Validity and Reliability of Symptom Checklist-90-Revised (SCL-90-R) and Brief Symptom Inventory-53 (BSI-53).” Clinical Psychology and Personality 17, no. 2: 169-195. https://doi.org/10.22070/cpap.2020.2916.

[2] Alanko, O., M. T. Tuomisto, T. Peltomäki, M. Tolvanen, T. Soukka, and A.-L. Svedström-Oristo. 2017. “A Longitudinal Study of Changes in Psychosocial Well-Being During Orthognathic Treatment.” International Journal of Oral and Maxillofacial Surgery 46, no. 11: 1380-1386. https://doi.org/10.1016/j.ijom.2017.05.004.

[3] AlAwadh, I., A. Bogari, T. Azhar, et al. 2024. “Prevalence of Body Dysmorphic Disorder Among Rhinoplasty Candidates: A Systematic Review.” Ear, Nose & Throat Journal 103, no. 6: 377-383. https://doi.org/10.1177/01455613211056543.

[4] Amodeo, C. A.2007. “The Central Role of the Nose in the Face and the Psyche: Review of the Nose and the Psyche.” Aesthetic Plastic Surgery 31: 406-410. https://doi.org/10.1007/s00266-006-0241-2.

[5] Baghban Boosari, M. M. S., S. H. Nemati, and S. Rezaei. 2016. “Mental Health Status Before and After Cosmetic Rhinoplasty.” Journal of Gorgan University of Medical Sciences 18, no. 2: 84-90.

[6] Borujeni, L. A., S. Pourmotabed, Z. Abdoli, et al. 2020. “A Comparative Analysis of patients' Quality of Life, Body Image and Self-Confidence Before and After Aesthetic Rhinoplasty Surgery.” Aesthetic Plastic Surgery 44: 483-490. https://doi.org/10.1007/s00266-019-01559-3.

[7] Brucoli, M., R. R. Y. Baena, P. Boffano, and A. Benech. 2019. “Psychological Profiles in Patients Undergoing Orthognathic Surgery or Rhinoplasty: A Preoperative and Preliminary Comparison.” Oral and Maxillofacial Surgery 23: 179-186. https://doi.org/10.1007/s10006-019-00758-1.

[8] Chen, K., and L. Zhou. 2023. “The Effect of Functional Rhinoplasty on Quality of Life: A Systematic Review and Meta-Analysis.” Aesthetic Plastic Surgery 1-8: 847-854. https://doi.org/10.1007/s00266-023-03390-3.

[9] Ebrahimi, A., M. H. Kalantar Motamedi, A. Shams, and N. Nejadsarvari. 2016. “Health and Social Problems of Rhinoplasty in Iran.” World Journal of Plastic Surgery 5, no. 1: 75-76.

[10] Ghahremani, L., M. Motevasel, M. Fararooei, and T. Rakhshani. 2019. “Mental Health in Rhinoplasty Applicants, Before and After Surgery.” Archives of Psychiatry and Psychotherapy 4, no. 1: 45-51. https://doi.org/10.12740/APP/106077.

[11] Hashemi, M., N. Sakhi, H. Ghazavi, P. Bolourinejad, and G. Kheirabadi. 2020. “Effects of Aesthetic Rhinoplasty on Quality of Life, Anxiety/Depression, and Self-Esteem of the Patients.” European Journal of Plastic Surgery 43: 153-158. https://doi.org/10.1007/s00238-019-01582-2.

[12] Kalantar Hormozi, A., S. Maleki, A. Rahimi, A. Manafi, and S. J. Amirizad. 2018. “Cosmetic Surgery in Iran: Sociodemographic Characteristics of Cosmetic Surgery Patients in a Large Clinical Sample in Tehran.” American Journal of Cosmetic Surgery 35, no. 4: 177-182. https://doi.org/10.1177/0748806818764734.

[13] Kass, F., E. Charles, D. F. Klein, and P. Cohen. 1983. “Misuse of the Symptom Checklist 90-Reply.” Archives of General Psychiatry 40, no. 10: 1152-1153. https://doi.org/10.1001/archpsyc.1983.01790090114026.

[14] Modabernia, M., H. S. Tehranie, M. Falahi, and M. Faghirpour. 2010. “Normalizing SCL-90-R Inventory in Guilan High-School Students.” Journal of the Guilan University of Medical Sciences 19, no. 75: 58-65.

[15] Nabavizadeh, S. S., R. Naseri, E. Sadeghi, A. Afshari, N. Dehdari Ebrahimi, and A. Sadeghi. 2023. “Prevalence of Body Dysmorphic Disorder in Rhinoplasty Candidates: A Systematic Review and Meta-Analysis.” Health Science Reports 6, no. 8: e1495. https://doi.org/10.1002/hsr2.1495.

[16] Shauly, O., J. Calvert, G. Stevens, R. Rohrich, N. Villanueva, and D. J. Gould. 2020. “Assessment of Wellbeing and Anxiety-Related Disorders in Those Seeking Rhinoplasty: A Crowdsourcing-Based Study.” Plastic and Reconstructive Surgery Global Open 8, no. 4: e2737. https://doi.org/10.1097/GOX.0000000000002737.

[17] Sun, M. D., and E. A. Rieder. 2022. “Psychosocial Issues and Body Dysmorphic Disorder in Aesthetics: Review and Debate.” Clinics in Dermatology 40, no. 1: 4-10. https://doi.org/10.1016/j.clindermatol.2021.08.008.

[18] Tasman, A.-J.2010. “The Psychological Aspects of Rhinoplasty.” Current Opinion in Otolaryngology & Head and Neck Surgery 18, no. 4: 290-294. https://doi.org/10.1097/MOO.0b013e32833b51e6.

[19] Tavassoli, A., M. Zavarmosavi, A. Masoodi, and Z. Geraili. 2022. “Mental Health Status Among the Candidates for Rhinoplasty: A Case-Control Study.” Journal of Current Oncology and Medical Sciences 2, no. 3: 257-265.

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2024 The Author(s). PsyCh Journal published by Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.