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Evaluation of Rhinoplasty Patients for Satisfaction on Rhinoplasty Results in the Name of Personal Variations

Yıl 2021, Sayı: 14, 285 - 301, 31.08.2021
https://doi.org/10.38079/igusabder.980429

Öz

Aim: In studies conducted around the world, it has been reported that only 10% of nose surgeries are only dependent on function, while the rest aim for the cosmetic goals of patients.The growing desire for cosmetic rhinoplasty requires further scientific evaluation in certain parts of the world. Low self-esteem, anxiety about negative body image, and some self-psychological personalities (perfectionism or obsessive-compulsive disorders, bipolar disorder, and some kinds of psychosis) may create motivation for cosmetic surgery. Our current study evaluates our rhinoplasty patients in the name of demographic variables like age, gender, education level, parenting and psychiatric characteristics like having medication before and continuing.
Method: We included 99 patients in our detection who applied to our clinic for cosmetic desire. Our study contains demographic variables like age, gender, education level, parenting and psychiatric characteristics like having medication before and continuing. All variables are evaluated with Rosenberg Self-Esteem Scale (RSES) and Social Appearance Anxiety Scale-scoring system (SAAS) statistically.
Results: The increase of the postoperative values in the RSES scoring analyses compared to preoperative results can be evaluated as significant statistically (p<0.001). Similarly the decreasing of values in the SAAS scoring analyses with operation is statistically significant (p<0.001).
Conclusion: We found that some of the parameters support very known hypotheses in literature, but on the contrary, some are having no effect on Rosenberg Self-Esteem Scale (RSES) and Social Appearance Anxiety Scale (SAAS).

Kaynakça

  • Rettinger G. Risks and complications in rhinoplasty. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2007; 6: 1–14.
  • Akbari Sari A, Babashahy S, Olyaeimanesh A, Rashidian A. Estimating the frequency and rate of first 50 common types of invasive procedures in Iran healthcare system. Iran J Public Health. 2012;41(10):60-4.
  • Veale D, Neziroglu F. Body Dysmorphic Disorder: A Treatment Manual. John Wiley and Sons; 2010.
  • Darisi T, Thorne S, Iacobelli C. Influences on decision-making for undergoing plastic surgery: a mental models and quantitative assessment. Plast Reconstr Surg. 2005;116(3):907-16. doi: 10.1097/01.prs.0000177691.81162.e5.
  • Pavan C, Vindigni V, Semenzin M, Mazzoleni F, Gardiolo M, Simonato P, et al. Personality, temperament and clinical scales in an Italian Plastic Surgery setting: what about body dysmorphic disorder? Int J Psychiatry Clin Pract. 2006;10(2):91-6. doi: 10.1080/13651500500487677.
  • Naraghi M, Atari M. Comparison of patterns of psychopathology in aesthetic rhinoplasty patients versus functional rhinoplasty patients. Otolaryngol Head Neck Surg. 2015;152(2):244-9. doi: 10.1177/0194599814560139.
  • Edgerton MT, Jacobson WE, Meyer E. Surgical-psychiatric study of patients seeking plastic (cosmetic) surgery: ninety-eight consecutive patients with minimal deformity. Br J Plast Surg. 1960 Jul;13:136-45. doi: 10.1016/s0007-1226(60)80029-x. PMID: 13819311.
  • Green SP, Pritchard ME. Predictors of body image dissatisfaction in adult men and women. Soc Behav Pers. 2003;31:215-222. https://doi.org/10.2224/sbp.2004.31.3.215.
  • Kucur C, Kuduban O, Ozturk A, Gozeler MS, Ozbay I, Deveci E, et al. Psychological evaluation of patients seeking rhinoplasty. Eurasian J Med. 2016;48(2):102-6. doi:10.5152/eurasianjmed.2015.103.
  • Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA. The psychology of cosmetic surgery: a review and reconceptualization. Clin Psychol Rev. 1998;18(1):1-22. doi:10.1016/s0272-7358(97)00047-0.
  • Sarwer DB, Cash TF, Magee L, et al. Female college students and cosmetic surgery: an investigation of experiences, attitudes, and body image. Plast Reconstr Surg. 2005;115(3):931-8. doi:10.1097/01.prs.0000153204.37065.d3.
  • Cash TF, Labarge AS. Development of the appearance schemas inventory: a new cognitive body-image assessment. Cognşt Ther Res. 1996;20:37-50. https://doi.org/10.1007/BF02229242.
  • Abbas OL, Kurkcuoglu A, Aytop CD, Uysal C, Pelin C. Perception of symmetry in aesthetic rhinoplasty patients: anthropometric, demographic, and psychological analysis. Perception. 2017;46(10):1151-1170. doi: 10.1177/0301006617714214.
  • Hilhorst MT. Philosophical pitfalls in cosmetic surgery: a case of rhinoplasty during adolescence. Med Humanit. 2002 Dec;28(2):61-5. doi: 10.1136/mh.28.2.61.
  • Sarwer D, Magee L. Physical Appearance and Society.Lippincott Williams & Wilkins Publishers; 2006.
  • Marsh HW. Age and gender effects in physical self-concepts for adolescent elite athletes and non athletes: a multicohort-multioccasion design. Sport Exerc Psychol. 1998;20:237-259. https://doi.org/10.1123/jsep.20.3.237.
  • Zojaji R, Arshadi HR, Keshavarz M, Mazloum Farsibaf M, Golzari F, Khorashadizadeh M. Personality characteristics of patients seeking cosmetic rhinoplasty. Aesthetic Plast Surg. 2014;38(6):1090-3. doi: 10.1007/s00266-014-0402-7.
  • Furnham A, Levitas J. Factors that motivate people to undergo cosmetic surgery. Can J Plast Surg. 2012;20(4):e47-50.
  • Hashemi SAG, Edalatnoor B, Edalatnoor B, Niksun O. A comparison of body image concern in candidates for rhinoplasty and therapeutic surgery. Electron Physician. 2017;9(9):5363-5368. doi: 10.19082/5363.
  • Ferraro GA, Rossano F, D'Andrea F. Self-perception and self-esteem of patients seeking cosmetic surgery. Aesthetic Plast Surg. 2005;29(3):184-9. doi: 10.1007/s00266-004-0124-3.
  • Asadi M, Salehi M, Sadooghi M, Ebrahimi AA. Self-esteem and attitude toward body appearance before and after cosmetic rhinoplasty. Iran J Psychiatry Clin PSychol. 2013;19:28-33.
  • von Soest T, Kvalem IL, Skolleborg KC, Roald HE. Psychosocial factors predicting the motivation to undergo cosmetic surgery. Plast Reconstr Surg. 2006;117(1):51-62; discussion 63-4. doi: 10.1097/01.prs.0000194902.89912.f1.

Rinoplasti Hastalarının Kişisel Değişkenlere Bağlı Memnuniyetlerinin Değerlendirilmesi

Yıl 2021, Sayı: 14, 285 - 301, 31.08.2021
https://doi.org/10.38079/igusabder.980429

Öz

Amaç: Dünya genelinde yapılan araştırmalarda burun cerrahilerinin yalnızca % 10’u sadece fonksiyona bağlıyken, geri kalanının görsel değişikliği amaçladığı bildirilmiştir. Kozmetik rinoplasti için giderek artan istek dünyanın belli kısımlarında ileri bilimsel değerlendirme gerektirmektedir. Düşük özbeğeni, olumsuz vücut imajı ile ilgili anksiyete ve bazı psikolojik kişisel özellikler (mükemmelliyetçilik veya obsessif-kompulsif, bipolar ve psikozun diğer özellikleri) estetik cerrahi için motivasyon oluşturabilir. Mevcut çalışmamız, rinoplasti hastalarımızda demografik değişkenleri (yaş, cinsiyet, evlilik, eğitim seviyesi, çocuk sahibi olma) ve psikolojik değişkenleri (daha önce psikiyatrik tedavi almış olma veya psikiyatrik tedavisinin devam etme durumu) değerlendirmektedir.
Yöntem: Çalışmamızda 99 hasta değerlendirilmiştir ve hastalarımızın hepsi kliniğimize estetik amaçlı rinoplasti için başvuran hastalardır. Bu çalışma değişkenleri demografik değişkenleri (yaş, cinsiyet, evlilik, eğitim seviyesi, çocuk sahibi olma) ve psikolojik değişkenleri (daha önce psikiyatrik tedavi almış olma veya psikiyatrik tedavisinin devam etme durumu) içermektedir.
‘Rosenberg Benlik Saygısı Ölçeği’ (RBSÖ) ve ‘Sosyal Görünüş Kaygı Ölçeği’ (SGKÖ) ile skorlama sonrası değişkenlerle olan anlamlılık sorgulanmıştır.
Bulgular: Olguların ameliyat öncesine göre ameliyat sonrası RBSÖ puanlarında gözlenen artış istatistiksel değerlendirmede anlamlı kabul edilmiştir (p<0.001). Bu da ameliyatın RBSÖ ölçeğine dayanarak olumluluk göstergesi olarak kabul edilebilir.
Olguların ameliyat öncesine göre ameliyat sonrası SGKÖ puanlarında gözlenen düşüş istatistiksel verilerde anlamlılık arz etmiştir (p<0.001). Bu da ameliyatın SGKÖ ölçeğine dayanarak olumluluk göstergesi olarak kabul edilebilir.
Sonuç: Çalışmamızda bazı parametrelerin, genel geçer kabul gören bazı hipotezleri destekler tarzda olduğu görülürken, bazı parametlerin ise sanılanın aksine benlik saygısı veya sosyal görünüş kaygısı üzerinde etkili olmadığını saptadık.

Kaynakça

  • Rettinger G. Risks and complications in rhinoplasty. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2007; 6: 1–14.
  • Akbari Sari A, Babashahy S, Olyaeimanesh A, Rashidian A. Estimating the frequency and rate of first 50 common types of invasive procedures in Iran healthcare system. Iran J Public Health. 2012;41(10):60-4.
  • Veale D, Neziroglu F. Body Dysmorphic Disorder: A Treatment Manual. John Wiley and Sons; 2010.
  • Darisi T, Thorne S, Iacobelli C. Influences on decision-making for undergoing plastic surgery: a mental models and quantitative assessment. Plast Reconstr Surg. 2005;116(3):907-16. doi: 10.1097/01.prs.0000177691.81162.e5.
  • Pavan C, Vindigni V, Semenzin M, Mazzoleni F, Gardiolo M, Simonato P, et al. Personality, temperament and clinical scales in an Italian Plastic Surgery setting: what about body dysmorphic disorder? Int J Psychiatry Clin Pract. 2006;10(2):91-6. doi: 10.1080/13651500500487677.
  • Naraghi M, Atari M. Comparison of patterns of psychopathology in aesthetic rhinoplasty patients versus functional rhinoplasty patients. Otolaryngol Head Neck Surg. 2015;152(2):244-9. doi: 10.1177/0194599814560139.
  • Edgerton MT, Jacobson WE, Meyer E. Surgical-psychiatric study of patients seeking plastic (cosmetic) surgery: ninety-eight consecutive patients with minimal deformity. Br J Plast Surg. 1960 Jul;13:136-45. doi: 10.1016/s0007-1226(60)80029-x. PMID: 13819311.
  • Green SP, Pritchard ME. Predictors of body image dissatisfaction in adult men and women. Soc Behav Pers. 2003;31:215-222. https://doi.org/10.2224/sbp.2004.31.3.215.
  • Kucur C, Kuduban O, Ozturk A, Gozeler MS, Ozbay I, Deveci E, et al. Psychological evaluation of patients seeking rhinoplasty. Eurasian J Med. 2016;48(2):102-6. doi:10.5152/eurasianjmed.2015.103.
  • Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA. The psychology of cosmetic surgery: a review and reconceptualization. Clin Psychol Rev. 1998;18(1):1-22. doi:10.1016/s0272-7358(97)00047-0.
  • Sarwer DB, Cash TF, Magee L, et al. Female college students and cosmetic surgery: an investigation of experiences, attitudes, and body image. Plast Reconstr Surg. 2005;115(3):931-8. doi:10.1097/01.prs.0000153204.37065.d3.
  • Cash TF, Labarge AS. Development of the appearance schemas inventory: a new cognitive body-image assessment. Cognşt Ther Res. 1996;20:37-50. https://doi.org/10.1007/BF02229242.
  • Abbas OL, Kurkcuoglu A, Aytop CD, Uysal C, Pelin C. Perception of symmetry in aesthetic rhinoplasty patients: anthropometric, demographic, and psychological analysis. Perception. 2017;46(10):1151-1170. doi: 10.1177/0301006617714214.
  • Hilhorst MT. Philosophical pitfalls in cosmetic surgery: a case of rhinoplasty during adolescence. Med Humanit. 2002 Dec;28(2):61-5. doi: 10.1136/mh.28.2.61.
  • Sarwer D, Magee L. Physical Appearance and Society.Lippincott Williams & Wilkins Publishers; 2006.
  • Marsh HW. Age and gender effects in physical self-concepts for adolescent elite athletes and non athletes: a multicohort-multioccasion design. Sport Exerc Psychol. 1998;20:237-259. https://doi.org/10.1123/jsep.20.3.237.
  • Zojaji R, Arshadi HR, Keshavarz M, Mazloum Farsibaf M, Golzari F, Khorashadizadeh M. Personality characteristics of patients seeking cosmetic rhinoplasty. Aesthetic Plast Surg. 2014;38(6):1090-3. doi: 10.1007/s00266-014-0402-7.
  • Furnham A, Levitas J. Factors that motivate people to undergo cosmetic surgery. Can J Plast Surg. 2012;20(4):e47-50.
  • Hashemi SAG, Edalatnoor B, Edalatnoor B, Niksun O. A comparison of body image concern in candidates for rhinoplasty and therapeutic surgery. Electron Physician. 2017;9(9):5363-5368. doi: 10.19082/5363.
  • Ferraro GA, Rossano F, D'Andrea F. Self-perception and self-esteem of patients seeking cosmetic surgery. Aesthetic Plast Surg. 2005;29(3):184-9. doi: 10.1007/s00266-004-0124-3.
  • Asadi M, Salehi M, Sadooghi M, Ebrahimi AA. Self-esteem and attitude toward body appearance before and after cosmetic rhinoplasty. Iran J Psychiatry Clin PSychol. 2013;19:28-33.
  • von Soest T, Kvalem IL, Skolleborg KC, Roald HE. Psychosocial factors predicting the motivation to undergo cosmetic surgery. Plast Reconstr Surg. 2006;117(1):51-62; discussion 63-4. doi: 10.1097/01.prs.0000194902.89912.f1.
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Makaleler
Yazarlar

Başak Çaypınar Eser 0000-0002-3782-4738

A. Emre İlhan 0000-0001-5513-1161

Yayımlanma Tarihi 31 Ağustos 2021
Kabul Tarihi 11 Ağustos 2021
Yayımlandığı Sayı Yıl 2021 Sayı: 14

Kaynak Göster

JAMA Çaypınar Eser B, İlhan AE. Rinoplasti Hastalarının Kişisel Değişkenlere Bağlı Memnuniyetlerinin Değerlendirilmesi. IGUSABDER. 2021;:285–301.

 Alıntı-Gayriticari-Türetilemez 4.0 Uluslararası (CC BY-NC-ND 4.0)