Featured Research

from universities, journals, and other organizations

Patients seek revision plastic surgery to correct asymmetric nasal tips, breathing obstructions

Date:
September 20, 2010
Source:
JAMA and Archives Journals
Summary:
Patients who seek a second surgery to revise their rhinoplasty often do so because they are dissatisfied with the symmetry of their nasal tip and because they experience nasal obstructions, according to a new study. Surgeons who examine revision rhinoplasty candidates cite slightly different findings than patients, suggesting that communication about nasal aesthetics could be improved.

Patients who seek a second surgery to revise their rhinoplasty often do so because they are dissatisfied with the symmetry of their nasal tip and because they experience nasal obstructions, according to a report in the September/October issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals. Surgeons who examine revision rhinoplasty candidates cite slightly different findings than patients, suggesting that communication about nasal aesthetics could be improved.

Approximately 5 percent to 15 percent of patients who have rhinoplasty [plastic surgery on the nose] seek revision surgery, according to background information in the article. "To optimize patient satisfaction from revision rhinoplasty, the surgeon must be keenly aware of the functional and cosmetic deficiencies that the patient considers most problematic," the authors write.

Kathy Yu, M.D., of Columbia College and Cornell University, New York, and colleagues collected questionnaires from 104 consecutive patients seeking revision rhinoplasty between Jan. 1, 2008, and June 30, 2009. Patients ranked the top three reasons for seeking revision surgery, reported any symptoms of nasal obstruction and listed the reasons they did not return to their primary surgeon. The surgeon who consulted the patients also reported three primary aesthetic findings along with objective indications of nasal obstruction in patients who reported symptoms.

Most patients reported seeking revision surgery because of tip asymmetry, difficulty breathing or nasal blockage, or a crooked middle third of the nose. The most common aesthetic concerns cited by patients and surgeons were tip asymmetry, a crooked middle third and irregularities in the upper third of the nose.

An average of 79 percent of patient concerns were also identified by the surgeon. "The discrepancy between patient concerns and surgeon findings arose for a variety of reasons," the authors write. "One of the main reasons is the surgeon's use of a conventional set of anatomical boundaries, specifically regarding the upper vs. middle third of the nose. Patients often do not have intricate knowledge of nasal anatomy to properly distinguish between nasal thirds."

However, only 55 percent of the surgeon's findings were also noted by the patient. This may be because surgeons are critical of their own work or the work of other surgeons, or "owing to the more comprehensive review of nasal anatomy by the trained eye of the surgeon, who follows a systematic method of evaluating the nose against a classical standard," the authors write. "Patients, on the other hand, may have more subjective and varied opinions on their ideal appearance."

Of the 64 (62 percent) of patients who described having difficulty breathing or other experiences of nasal obstruction, 60 (94 percent) had objective physical findings related to obstruction.

"These findings emphasize the importance of physician awareness of patients' concerns, understanding the causes of postsurgical nasal obstruction and clearly explaining nasal aesthetics to patients seeking revision rhinoplasty," the authors conclude.


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. K. Yu, A. Kim, S. J. Pearlman. Functional and Aesthetic Concerns of Patients Seeking Revision Rhinoplasty. Archives of Facial Plastic Surgery, 2010; 12 (5): 291 DOI: 10.1001/archfacial.2010.62

Cite This Page:

JAMA and Archives Journals. "Patients seek revision plastic surgery to correct asymmetric nasal tips, breathing obstructions." ScienceDaily. ScienceDaily, 20 September 2010. <www.sciencedaily.com/releases/2010/09/100920172642.htm>.
JAMA and Archives Journals. (2010, September 20). Patients seek revision plastic surgery to correct asymmetric nasal tips, breathing obstructions. ScienceDaily. Retrieved August 1, 2014 from www.sciencedaily.com/releases/2010/09/100920172642.htm
JAMA and Archives Journals. "Patients seek revision plastic surgery to correct asymmetric nasal tips, breathing obstructions." ScienceDaily. www.sciencedaily.com/releases/2010/09/100920172642.htm (accessed August 1, 2014).

Share This




More Health & Medicine News

Friday, August 1, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

House Republicans Vote to Sue Obama Over Healthcare Law

House Republicans Vote to Sue Obama Over Healthcare Law

Reuters - US Online Video (July 31, 2014) The Republican-led House of Representatives votes to sue President Obama, accusing him of overstepping his executive authority in making changes to the Affordable Care Act. Mana Rabiee reports. Video provided by Reuters
Powered by NewsLook.com
Despite Health Questions, E-Cigs Are Beneficial: Study

Despite Health Questions, E-Cigs Are Beneficial: Study

Newsy (July 31, 2014) Citing 81 previous studies, new research out of London suggests the benefits of smoking e-cigarettes instead of regular ones outweighs the risks. Video provided by Newsy
Powered by NewsLook.com
Dangerous Bacteria Kills One in Florida

Dangerous Bacteria Kills One in Florida

AP (July 31, 2014) Sarasota County, Florida health officials have issued a warning against eating raw oysters and exposing open wounds to coastal and inland waters after a dangerous bacteria killed one person and made another sick. (July 31) Video provided by AP
Powered by NewsLook.com
Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins