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Background <p>Visual attention influences aesthetic perception and may affect expectations and satisfaction in rhinoplasty.</p> Objectives <p>To compare how patients and rhinoplasty surgeons visually assess facial profiles using eye-tracking technology.</p> Methods <p>This cross-sectional observational study included 26 patients and 13 experienced otolaryngologists. All participants viewed 21 standardized lateral facial profile photographs. Visual attention across ten facial regions was recorded using eye-tracking technology, focusing on first fixation area, total viewing time, fixation count, and revisits.</p> Results <p>Both groups focused most on the nasal region. Patients demonstrated significantly higher visual engagement with the nasal tip, including longer viewing time (25.18 ± 10.23 s vs 15.64 ± 11.19 s; <i>P</i> = .011) and more fixations (97.62 ± 40.64 vs 63.92 ± 42.24; <i>P</i> = .021). Physicians, by contrast, focused more on the radix, with longer viewing time (38.89 ± 17.49 s vs 24.91 ± 17.64 s; <i>P</i> = .025) and more fixations (144.38 ± 47.59 vs 108.04 ± 52.72; <i>P</i> = .043). No statistically significant differences were observed in other facial regions.</p> Conclusion <p>Patients and surgeons focus on different nasal regions, and eye-tracking may help align their aesthetic expectations.</p> Level of Evidence III <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="https://www.springer.com/00266">www.springer.com/00266</a>.</p>

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Visual Attention in Rhinoplasty: Eye-Tracking Comparison of Patients and Physicians on Profile Images

  • 期刊论文

  • 发表日期：

    2025年12月18日

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  • Burak Numan Ugurlu,
  • Gulay Aktar Ugurlu,
  • Eda Simsek

摘要

Background

Visual attention influences aesthetic perception and may affect expectations and satisfaction in rhinoplasty.

Objectives

To compare how patients and rhinoplasty surgeons visually assess facial profiles using eye-tracking technology.

Methods

This cross-sectional observational study included 26 patients and 13 experienced otolaryngologists. All participants viewed 21 standardized lateral facial profile photographs. Visual attention across ten facial regions was recorded using eye-tracking technology, focusing on first fixation area, total viewing time, fixation count, and revisits.

Results

Both groups focused most on the nasal region. Patients demonstrated significantly higher visual engagement with the nasal tip, including longer viewing time (25.18 ± 10.23 s vs 15.64 ± 11.19 s; P = .011) and more fixations (97.62 ± 40.64 vs 63.92 ± 42.24; P = .021). Physicians, by contrast, focused more on the radix, with longer viewing time (38.89 ± 17.49 s vs 24.91 ± 17.64 s; P = .025) and more fixations (144.38 ± 47.59 vs 108.04 ± 52.72; P = .043). No statistically significant differences were observed in other facial regions.

Conclusion

Patients and surgeons focus on different nasal regions, and eye-tracking may help align their aesthetic expectations.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.