Dorsal reduction adds to social perception of rhinoplasty

(HealthDay)—Dorsal reduction has a greater effect than tip manipulation in adding value to social perception of the facial profile of patients undergoing cosmetic rhinoplasty, according to a study published online June 7 in JAMA Facial Plastic Surgery.

Cherian K. Kandathil, M.D., from Stanford University in California, and colleagues assessed the social perception of four patients who underwent cosmetic rhinoplasty. An online survey showed 813 participants original and simulated images in order for them to estimate age, approachability, perceived success, overall health, and intelligence, and to rate attractiveness on a visual analogue scale (0 to 100).

The researchers found that for the simulation involving hump reduction, a significant age reduction (P = 0.04) and an increase in approachability (P = 0.009), attractiveness (P < 0.001), and health (P = 0.006) were observed. Only significant increases in attractiveness (P < 0.001) and
health (P = 0.03) were seen when combined simulation of dorsum and tip rotation were tested. When the tip alone was rotated, no significant association was found for any of the responses.

"Though rhinoplasty procedures for nasal cosmesis involving both the nasal dorsum and tip were perceived to make a person more attractive and healthier, these results suggest that manipulation of the dorsum is more strongly associated with perception of the nose," the authors write.

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