Patients who undergo rhinoplasty surgery appear more attractive, more successful, and healthier to casual observers in society, according to a study published in JAMA Facial Plastic Surgery.

Researchers from Johns Hopkins University in Baltimore, Maryland, administered a web-based survey to 473 causal observers to determine the association of rhinoplasty with perceived attractiveness, success, and overall health. The survey participants viewed images of 13 unique patient faces before or after rhinoplasty, rating attractiveness, perceived success, and perceived overall health for each image. Most participants were white, female, and educated with a 4-year college degree.

The survey participants answered facial perception questions on a visual analog scale from 0 to 100, with higher scores corresponding to a more positive response. The researchers used a multivariate mixed-effects regression model to determine the effect of rhinoplasty on attractiveness, success, and overall health.

Continue Reading

Patients who underwent rhinoplasty surgery were perceived to be 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 healthier (rhinoplasty effect, 3.78; 95% CI, 2.79-4.81).

The investigators note that the results do not reflect the spectrum of surgical outcomes because the selected images represented only optimal rhinoplasty outcomes. Surgical outcomes can be significantly affected by patient variability, etiology of deformity, surgeon expertise, and surgical technique.

Related Articles

“These findings propose that patients experience an improvement in social interactions stemming from the positive effect of rhinoplasty surgery on observer perceptions,” the authors concluded. “Furthermore, these results may improve physician-patient discussions about rhinoplasty surgery by providing a reference for an optimal outcome.”


Nellis JC, Ishii M, Bater KL, et al. Association of rhinoplasty with perceived attractiveness, success, and overall health [published online October 19, 2017]. JAMA Facial Plast Surg. doi: 10.1001/jamafacial.2017.1453