Valiasr st, Tehran, Iran

Rhinoplasty and unhappy result

Table of Contents

The researchers performed A retrospective cross-sectional investigation and examined patient records from the Fars Forensic Medicine Department from 2011 to 2020. Out of the 117 patients that participated in the study, 68.4% were female, and 31.6% were male. Intriguingly, patients with a college degree or above accounted for the most significant proportion of the sample, and the age group with the highest representation was 30-34 years.

Most patients initiated legal action within six months following their rhinoplasty surgery, which is a noteworthy finding. “Respiratory problems” (36.8% of the total) and “dissatisfaction with the general shape of the nose” (34.2%) were the leading causes of discontent.

The research found that middle-aged female patients may be more difficult to make happy with the results of surgery. It also showed that older patients are more prone to be unhappy with their nose’s function, while younger patients are more concerned with its appearance.

This study highlights the significance of thorough patient assessment, reasonable expectation setting, and continuous two-way communication between surgeons and patients. Surgeons may do their best to increase patient happiness and decrease post-operative complaints by attending to practical and cosmetic issues.

In my opinion, a person’s sense of self-worth and happiness is profoundly affected by their nose because it is a prominent facial feature. The delicate cosmetic surgery operation known as rhinoplasty is frequently done worldwide to fix both practical problems, such as breathing problems, and cosmetic ones, like problems with the nose’s look.

I was interested in this study because it sought to identify why certain rhinoplasty patients were unhappy with their results. Surgeons can enhance their surgical procedures and avoid patients’ complaints in the future if they take the time to grasp their issues. Let’s see some data from this research.

  • Males comprised 31.6% of the patient population, while females comprised the vast majority of patients (68.4%).
  • The 30-34 age bracket had the most complaints at 24.8%, followed by the 25-29 age bracket at 21.4%.
  • Among the patients, almost 60% had formal education.
  • Only slightly more patients were unmarried (51.3% vs. 48.7%).

Timeliness of Grievances:

  • The surgeon received the most outstanding complaints within the first six months following rhinoplasty (30.8%).
  • Within the first four to five years following surgery, the frequency of complaints dropped to its lowest point at 4.3%.

Roots of Discontent:

  • There was a higher prevalence of functional symptoms, with respiratory problems accounting for 36.8% of all cases.
  • Dissatisfaction with the overall form of the nose (34.2%) and asymmetry of the nostrils (29.1%) were the most common aesthetic complaints.
  • The gender gap was most pronounced in males, where 43.2% of patients reported difficulty breathing.
  • Regarding female patients, the most common concerns (37.5%) were the nose’s general shape and the nostrils’ asymmetry.

Disparities Bound by Age:

  • Patients in the 19–24 age group were likelier to be unhappy (38.9%) with their respiratory issues.
  • Skin deformities caused by scarring and general nose shape were the primary concerns of patients aged 25–34.
  • Patients who were 35 years old and older typically complained about difficulty breathing.
  • Complaints related to breathing were most common among patients without a bachelor’s degree (34%).
  • Most patients with a college degree were dissatisfied with the overall contour of their noses (57.1%).
  • Nasal deviation was more unsatisfactory for single individuals (66.7%).
  • More than half of the married patients with nasal ala malformation were unhappy with the results.

The period following the surgical procedure:

  • In the first six months following surgery, most patients reported issues with smell and deformities of the nasal bridge.
  • Most patients reported difficulty breathing between six months and a year following surgery.


Within the first two years following surgery, the majority of complaints were related to dissatisfaction with the overall appearance of the nose. These results illuminate the causes of post-rhinoplasty patient unhappiness. This invaluable knowledge will give surgeons the tools to classify and treat each patient’s concerns, ultimately leading to happier, more satisfied patients.

An opinion from Doctor Ahmadi:

As a physician, this discovery is fascinating and I look forward to seeing the positive impact it will have on the field of rhinoplasty. The study gives the whole picture of all factors that combine to cause patients to be dissatisfied after rhinoplasty.

A convincing finding for me, which surprised me, was that there are disparate worries between men and women patients. Being males, patients would often complain about the functional features of the nose, but individuals with that feature can breathe right; these operational aspects are mainly a significant cause of dissatisfaction among male patients, while females tend to be critical of the aest, hectic outcome, such as the shape of the nose as well as the nostril asymmetry, which they mostly complain about.

The causes of dissatisfaction among other age groups are also vague. As mentally expected, the young patients who undergo rhinoplasty mostly pay attention to the procedure’s cosmetic side, the nose shape, tip, and skin ripples. Hence, although aging patients’ prototypes change and they start putting a higher emphasis on functions like breathlessness, the old ones remain. These analyses guide us to change our treatments and firmly understand patients’ expectations at a particular age.

While educational status is an additional exciting observation concerning the type of complaints, it is also worth mentioning. Patients without the aid of an acquired education problem purely with a functional aspect about their breath issues without any concern on their nose shape, whereas on the other side, the patients avail the benefits of education are likely to be more discriminative towards the subjective aesthetic outcomes, particularly of their nose shape. This particular data helps us build empathy with different patient groups and clarifies their perspective on healthcare.

A person’s ability to express their complaints is also impacted by the amount of time they have. The frequency of complaints registered during the surgery within six months after the procedure indicates how vital it is to monitor the patients and address any problems during those six months.

It’s best to avoid using technical or medical terms. Instead, let’s summarize the information in a table for easier understanding.

Gender Distribution

Age Group with Most Complaints

Age groupPercentage

Reasons for Discontent

Reason for DiscontentPercentage
Respiratory Problems36.8
Overall Shape34.2
Nostril Asymmetry29.1

Disparities in Reasons by Age

Age groupComplaint
19-24Breathing Problems
25-34Skin Deformities
35+Breathing Problems

Disparities in Reasons by Education

No DegreeBreathing Problems
College DegreeOverall Shape

Timeframe of Complaints

First 6 MonthsSmell/Bridge Deformity
6 Months – 1 YearBreathing Difficulty
After 2 YearsOverall Appearance

Final words: Such differences in perception of beauty are often simultaneously the cause and the effect of new scientific discoveries, and therefore, we should not ignore that. The surgeon has to display extraordinary abilities and know exactly what their patient desires and expects.

Those interested in nose plastic surgery should determine their goals logically, scout the board of documents and experience of the chosen clinic, and stay open and honest conversation with the surgeon during the whole process. Patience is needed, and one might need time for healing so that the effectiveness of the healing process can be seen faster.

The primary issue of rhinoplasty is that patients still can be unsatisfied after the surgery. Nevertheless, some have faced negative backlashes, but many others have seen them as a positive means of self-reliance. As you get closer to achieving your goals, it is vital to take along with seasoned surgeons, consider the possibility of side effects, and be aware of the limitations involved.

Although these discoveries offer valuable insights, it’s crucial to remember that each person’s experience and perception of beauty is distinct. A good rhinoplasty requires physical skill and an in-depth understanding of what the patient wants and expects.

People thinking about getting rhinoplasty should set realistic goals, look into the qualifications and experience of their surgery, and stay open and honest conversation with them throughout the process. Practicing patience and giving the healing process enough time is crucial, as the outcomes might take time to be visible.

After having a rhinoplasty, some patients may feel dissatisfied. However, many others have reported positive outcomes and increased self-confidence. To improve the chances of achieving the desired results, it is crucial to work closely with experienced surgeons and understand the potential risks and limitations involved.

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Dr.Mehdi Ahmadi

Plastic and Cosmetic Surgery Specialist and Member of the International Society of Plastic Surgeons. Performs various facial and body surgeries, including: Facelift Temple lift Forehead lift Endoscopic lift Rhinoplasty Jaw surgery …