The benefits of aesthetic surgery are usually directly proportional to the psychic distress, not to the physical deformity. The purpose of the study was to investigate more about attractiveness, motivation to aesthetic surgery, measuring of outcome and future directions. In the past several authors requested, that prevalence and reversability of body image disorder should be assessed in plastic surgery patients. There were also requests, that Patients should rate their own nose and other patients' noses before and after rhinoplasty. In this study we used 2 groups: first group consisted in 95 patient they were undergoing rhinoplasty-surgery, second group consisted in 95 patient (control-group) they had an appointment in the clinic without any nasal concernings. We used a standardized questionnaire for pre-op nose ratings with analoge visual scale. Furthermore we requested both groups to do success-ratings of showen rhinoplasty pictures. Further on we prepared questions about body-image, self-perception, attractiveness. Our results indicate a difference in self-perception and the role of attractiveness for the selfconfidence in the two participating groups of the study. The rhinoplasty group for instance complain more about embarrassment against strangers & starring at them cause more distress than in the control-group. In our opinion further studys are requested to investigate more in patient satisfaction, health related quality of life and patient psychology. Even to find out candidates with a body dysmorphic disorder in aesthetic surgery.
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