Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland.
JAMA Facial Plast Surg. 2018 Mar 1;20(2):97-102. doi: 10.1001/jamafacial.2017.1453.
To date, the impact of rhinoplasty surgery on social perceptions has not been quantified.
To measure the association of rhinoplasty with observer-graded perceived attractiveness, success, and overall health.
DESIGN, SETTING, AND PARTICIPANTS: In a web-based survey, blinded casual observers viewed independent images of 13 unique patient faces before or after rhinoplasty. Delphi method was used to select standardized patient images, confirming appropriate patient candidacy and overall surgical effect. Observers rated the attractiveness, perceived success, and perceived overall health for each patient image. Facial perception questions were answered on a visual analog scale from 0 to 100, where higher scores corresponded to more positive responses. A multivariate mixed-effects regression model was used to determine the effect of rhinoplasty while accounting for observer biases. To further characterize the effect of rhinoplasty, estimated ordinal rank change was calculated for each domain.
The primary objective was to measure the effect of rhinoplasty on observer-graded perceived attractiveness, success, and overall health.
A total of 473 observers (mean age, 29 years [range, 18-73 years]; 305 [70.8%] were female) successfully completed the survey. On multivariate regression, patients after rhinoplasty were rated as significantly more attractive (rhinoplasty effect, 6.26; 95% CI, 5.10-7.41), more successful (rhinoplasty effect, 3.24; 95% CI, 2.32-4.17), and overall healthier (rhinoplasty effect, 3.78; 95% CI, 2.79-4.81). The ordinal rank change for an average individual's perceived attractiveness, success, and overall health was a positive shift of 14, 9, and 10 out of 100 rank positions, respectively.
As perceived by casual observers, rhinoplasty surgery was associatedwith perceptions that in patients appeared significantly more attractive, more successful, and healthier. These results suggest patients undergoing rhinoplasty may derive a multifaceted benefit when partaking in social interactions. Furthermore, these results facilitate improved patient discussions aiming to provide more precise surgical expectations with an understanding that these results represent optimal outcomes.
NA.
迄今为止，鼻整形手术对社会认知的影响尚未量化。
测量鼻整形术与观察者评定的吸引力、成功和整体健康之间的关联。
设计、设置和参与者：在一项基于网络的调查中，盲目的偶然观察者在鼻整形术前或术后观看了 13 张独特患者面部的独立图像。德尔菲法用于选择标准化的患者图像，以确认适当的患者候选资格和整体手术效果。观察者为每个患者图像的吸引力、感知成功和感知整体健康程度进行评分。面部感知问题通过 0 到 100 的视觉模拟量表回答，分数越高表示反应越积极。使用多变量混合效应回归模型来确定鼻整形术的效果，同时考虑观察者的偏见。为了进一步描述鼻整形术的效果，为每个领域计算了估计的等级变化。
主要目标是测量鼻整形术对观察者评定的吸引力、成功和整体健康的影响。
共有 473 名观察者（平均年龄 29 岁[范围，18-73 岁]；305 名[70.8%]为女性）成功完成了调查。在多变量回归中，接受鼻整形术的患者被评为明显更具吸引力（鼻整形术效果，6.26；95%CI，5.10-7.41）、更成功（鼻整形术效果，3.24；95%CI，2.32-4.17）和整体更健康（鼻整形术效果，3.78；95%CI，2.79-4.81）。平均个体感知吸引力、成功和整体健康的等级秩变化分别为 100 个秩位中的 14、9 和 10 个正偏移。
根据偶然观察者的看法，鼻整形手术与患者看起来明显更具吸引力、更成功和更健康的观念相关。这些结果表明，接受鼻整形术的患者在参与社交互动时可能会获得多方面的益处。此外，这些结果有助于改善患者讨论，旨在提供更精确的手术预期，并理解这些结果代表最佳结果。
无。
