Introduction
Careful patient selection in septorhinoplasty is critical to good
outcomes. Pre-operative considerations should include the patient’s
motivation for surgery, social history, psychological and psychiatric
history, as well as an assessment of their expectations of surgery.
Unrealistic expectations can lead to post-operative dissatisfaction.
Body Dysmorphic Disorder (BDD) is an obsessive-compulsive spectrum
disorder, where there is a preoccupation with perceived defects in
physical appearance, which are not observable or appear slight to
others. BDD is a known risk factor for poor post-operative satisfaction
following septorhinoplasty .
There is a BDD prevalence of 5% in those seeking cosmetic surgery.
These patients are often dissatisfied with the operative result and
their BDD symptoms remain static or worsen post-operatively .
Given the clear need to very carefully select patients suitable for
surgery, our aim was to identify and refine factors influencing patient
satisfaction following septorhinoplasty.