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The effect of nasal skin thickness on the outcome of rhinoplasty

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European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Rhinoplasty is one of the most common cosmetic surgeries. Different factors affect outcome of rhinoplasty. This study aim was to investigate the effect of nasal skin thickness on the outcome of rhinoplasty.

Methods

This prospective cohort study was performed on 100 applicants for rhinoplasty aged between 18 and 40 years. Demographic information was collected, and skin color and type were determined using Fitzpatrick criterion. Nose skin thickness was measured by caliber, and ROE (Rhinoplasty Outcome Evaluation) and NOSE (Nasal Obstruction Symptom Evaluation) questionnaires were completed before and three and six months after surgery.

Results

The mean age of the participants was 27.6 ± 6.5 years and most of them were female. The mean thickness of nasal skin in three regions including alar, dorsal, and supratip was 3.72 ± 0.78, 3.81 ± 0.82, and 4.66 ± 1.47 mm, respectively. There was a significant relationship between nasal skin thickness and satisfaction with the outcome of rhinoplasty (ROE) and people with low skin thickness were more satisfied with the outcome of surgery (p < 0.05). Also, there was a significant association between nasal skin thickness and nasal obstruction (NOSE score) after surgery and individuals with low skin thickness had less nasal obstruction after surgery (p < 0.05).

Conclusions

This study showed that people with thicker nasal skin are less satisfied with the outcome of their nose surgery, and therefore, more care should be considered for such people during and after surgery. However, skin type and color have no effect on the outcome of rhinoplasty.

Level of Evidence: Level III, Risk - Prognostic Study

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Data Availability

Data is available on request.

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Funding

This study received no fund.

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Islamic Azad University, Mashhad Branch, Mashhad, Iran

    Ramin Zojaji & Maryam Ataei

  2. Science Department, Ryerson University, Toronto, ON, Canada

    Seyedeh Hasti Zojaji

  3. Department of Biostatistics, School of Medicine, Islamic Azad University, Mashhad Branch, Mashhad, Iran

    Mojtaba Meshkat

Authors
  1. Ramin Zojaji
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  2. Maryam Ataei
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  3. Seyedeh Hasti Zojaji
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  4. Mojtaba Meshkat
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Contributions

RZ: main concept and study design and approving final manuscript; MA: PI and data acquisition and approving final manuscript; SHZ: data collection and writing first manuscript draft and approving final manuscript; and MM: data analysis and interpretation of results and approving final manuscript.

Corresponding author

Correspondence to Ramin Zojaji.

Ethics declarations

Ethical approval

All procedures were in accordance with the 1964 Helsinski Declaration and its later amedments. The ethics committee of the Islamic Azad University of Mashhad approved the study protocol.

Consent to participate

Informed consent was obtained from all participants before enrollment.

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All authors consented to publish the manuscript.

Competing interests

Ramin Zojaji, Maryam Ataei, Seyedeh Hasti Zojaji, and Mojtaba Meshkat declare no competing interests.

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Zojaji, R., Ataei, M., Zojaji, S.H. et al. The effect of nasal skin thickness on the outcome of rhinoplasty. Eur J Plast Surg 47, 6 (2024). https://doi.org/10.1007/s00238-023-02156-z

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  • DOI: https://doi.org/10.1007/s00238-023-02156-z

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