Seyyed Vali-allah Mousavi - PhD, Associate Professor at Department of Psychology, Faculty of Literature and Humanities, University of Guilan,Rasht, Iran

Background: Despite the great number of cosmetic rhinoplasties, there are fewstudies on the improvement of self-concept and patient satisfaction with nosefitness.Objectives: This study attempted to examine the variability of self-concept andpatient satisfaction with nose fitness before and after cosmetic rhinoplastythrough three to six months of follow-up.Materials and Methods: Under a pretest-posttest single-group design, a totalof 100 women and men applying for cosmetic rhinoplasty at the academicclinics in Guilan were selected though convenience sampling. The participants’age ranged from 17-47 years old and each of them responded to the Beck Self-Concept Test (BSCT) and Satisfaction Visual Analogue Scale (S-VAS) beforeand three to six months after the cosmetic surgery. The data were analyzedthrough the independent t-test and univariate analysis of covariance(UNIANCOVA) under a 2×2 factorial design, after controlling for the twovariables of age and marital status.Results: The mean age of patients was 26.85±6.60 years. We found that theself-concept in patients post-surgery had not improved compared with presurgery(p> 0.05). However, the patients’ satisfaction with nose fitnesssignificantly increased after surgery (F=70.10, p<0.0001). There was nosignificant difference between the female and male groups in terms of selfconceptand satisfaction with nose fitness (p> 0.05).Conclusion: Although many rhinoplasty applicants were satisfied about thechanges in their facial features, rhinoplasty seems to have failed to improve thepatients’ self-concept, the implications of which are discussed.

Rhinoplasty; Self Concept; Satisfaction