The effect of nasal skin thickness on the outcome of rhinoplasty

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.

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.

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).

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