Evidence map›Paper›PMID 41541245›Full record

ArticlePlastic and reconstructive surgery. Global open2026

Psychosocial Factors Surrounding Aesthetic Rhinoplasty: A Systematic Review.

Kolos K Nagy, Caroline J Cushman, Michael Selby, Wm Zachary Salter, Evan J Hernandez, Edward Daniele, Brendan J MacKay, Joshua C Demke

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kolos K NagyFrom the School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX.
Caroline J CushmanFrom the School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX.
Michael SelbyFrom the School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX.
Wm Zachary SalterFrom the School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX.
Evan J HernandezDepartment of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, TX.
Edward DanieleLubbock Plastic Surgery Institute, Private Practice, Lubbock, TX.
Brendan J MacKayDepartment of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, TX.
Joshua C DemkeDivision of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Texas Tech University Health Sciences Center, Lubbock, TX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rhinoplasty, widely known to improve form and function, is growing in popularity for both cosmetic and functional purposes. The preexisting psychosocial state of a patient significantly affects the perceived outcome of aesthetic rhinoplasty, even when surgery is technically successful. Given the elevated rates of distress, depression, social dysfunction, and body dysmorphic disorder among candidates, psychosocial optimization is essential. Methods: A systematic review was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies published from January 2000 to August 2024 examining associations between aesthetic rhinoplasty outcomes and psychological factors were identified through PubMed, Cochrane Library, and Embase. Eligible studies evaluated psychosocial characteristics, preoperative mental health status, and postoperative satisfaction. Results: Patients with preexisting mental health conditions, including body dysmorphic disorder, anxiety, and depression, consistently reported lower postoperative satisfaction despite technically successful results. Patient-reported outcome measures demonstrated that psychological readiness, social context, and expectation setting significantly influenced perceived outcomes. Individuals with diminished psychosocial functioning were more likely to experience reduced postoperative satisfaction, underscoring the interplay between psychological pathology and subjective assessment of surgical success. Conclusions: Evaluating patient motivations, expectations, and psychosocial readiness allows physicians to better predict satisfaction and improve expectation management. Incorporating a thorough preoperative mental health assessment can help identify modifiable psychosocial factors and optimize outcomes for patients pursuing aesthetic rhinoplasty.

Identifiers

PMID41541245
PMCPMC12803721

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.