Background: The urban context may influence how adolescents evaluate their appearance. We compared nasal and facial self-perception among 14–to 16-year-olds living in a large city (İzmir), a medium-sized city (Eskişehir), and a small city (Bilecik) in Turkey.
Methods: In a school-based cross-sectional survey, 100 adolescents (14–16 years) completed a brief Nasal and Facial Self-Perception (NFSP) questionnaire (appearance satisfaction, social confidence, and appearance-related preoccupation subscales; 5-point Likert). Instrument content was informed by established patient-reported measures used in facial/aesthetic research. Group differences were examined descriptively.
Results: Adolescents in İzmir reported the most favorable scores across both appearance satisfaction and social confidence. Bilecik reported lower scores and greater appearance-related preoccupation, while Eskişehir fell in between. Sex-related patterns followed the literature (girls generally more self-critical), but city-size gradients persisted across sexes.
Conclusion: In this pilot study, adolescents in a large metropolitan context were, on average, more confident about their nose/face appearance than their peers in small-city settings. Urbanicity, neighborhood context, and sociocultural exposure likely play a role. Further studies with validated instruments, larger samples, and adjustment for socioeconomic and digital media variables are warranted.
Keywords: Nasal Perception, Facial Self-Perception, Nose, adolescence
| Primary Language | English |
|---|---|
| Subjects | Otorhinolaryngology |
| Journal Section | Clinical Research |
| Authors | |
| Submission Date | November 10, 2025 |
| Acceptance Date | November 17, 2025 |
| Publication Date | December 23, 2025 |
| Published in Issue | Year 2025 Volume: 8 Issue: 3 |
You can find the current version of the Instructions to Authors at: https://www.eurjrhinol.org/en/instructions-to-authors-104
Starting on 2020, all content published in the journal is licensed under the Creative Commons Attribution-NonCommercial (CC BY-NC) 4.0 International
License which allows third parties to use the content for non-commercial purposes as long as they give credit to the original work. This license
allows for the content to be shared and adapted for non-commercial purposes, promoting the dissemination and use of the research published in
the journal.
The content published before 2020 was licensed under a traditional copyright, but the archive is still available for free access.