title: Aesthetic analysis in rhinoplasty: surgeon vs. patient perspectives: a prospective, blinded study.
abstract: OBJECTIVE
  To determine how patients seeking cosmetic rhinoplasty analyze themselves compared to their surgeon's analysis. Simply stated, "Does your surgeon view your nose the same as you?"
  
  
  METHODS
  Prospective, blinded study.
  
  
  METHODS
  All primary rhinoplasty consultations completed a nasal analysis questionnaire. The patients' facial plastic surgeons completed an identical questionnaire. The results were compared and analyzed.
  
  
  RESULTS
  Data underwent statistical analysis and subsequent factor analysis was performed. 132 patients participated in the study. Questions were grouped together based on factors: overall appearance, skin quality, tip dimensions, straightness, nostril show, and width. The only factor with reasonable surgeon/patient correlation was factor 1, overall appearance, with correlation 0.6473, p<0.001.
  
  
  CONCLUSIONS
  Surgeons and patients are in agreement with the overall appearance of the nose, but differ in their analysis regarding the details. This information can be used to guide future discussions during consultations and most importantly help to better gauge and manage patient expectations.
authors.affiliation: Indiana University School of Medicine, Indianapolis, IN 46290, USA. tshipchandler@hotmail.com
authors.forename: Taha Z
authors.initials: TZ
authors.lastname: Shipchandler
authors.forename: Babar
authors.initials: B
authors.lastname: Sultan
authors.forename: Lisa
authors.initials: L
authors.lastname: Ishii
authors.forename: Kofi D
authors.initials: KD
authors.lastname: Boahene
authors.forename: Randolph B
authors.initials: RB
authors.lastname: Capone
authors.forename: Theda C
authors.initials: TC
authors.lastname: Kontis
authors.forename: Ira D
authors.initials: ID
authors.lastname: Papel
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Byrne
mesh_terms: D000328:Adult; D001290:Attitude; D003142:Communication; D004954:Esthetics; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010817:Physician-Patient Relations; D011446:Prospective Studies; D012225:Rhinoplasty; D013518:Surgery, Plastic