What question did this study set out to answer?

The study aims to evaluate the effectiveness and patient satisfaction between preservation and structural rhinoplasty techniques.

February 14, 2026Open Access

Assessment of Functional and Aesthetic Results in Preservation and Structural Rhinoplasty

Key Points

The study aims to evaluate the effectiveness and patient satisfaction between preservation and structural rhinoplasty techniques.
Evaluated outcomes of rhinoplasty using surveys like SCHNOS, ROE, NOSE, and WHOQOL-BREF.
Included 75 patients undergoing either preservation or structural rhinoplasty.
Conducted preoperative and one- and three-month postoperative assessments.
Statistical analysis was performed to compare results.
Both groups had similar baseline ROE scores; however, PR showed significantly higher scores at three months.
PR patients reported better outcomes in the SCHNOS-Obstruction domain at one month.
No significant differences were noted in SCHNOS-Cosmesis and NOSE scores.
Quality of life improved across all domains for both surgical methods.

Abstract

Background: The philosophy of preservation rhinoplasty (PR) is gaining popularity as an alternative to structural rhinoplasty (SR), prompting comparison of their effectiveness, patient satisfaction, and impact on quality of life. Methods: This study evaluated the outcomes of rhinoplasty performed using PR and SR, supported by the SCHNOS, ROE, NOSE, and WHOQOL-BREF questionnaires. Seventy-five patients were included (N = 47 (63%) female and N = 28 (37%) male), of whom 39 underwent SR. Surveys were completed preoperatively and at one and three months postoperatively. A single surgeon performed all procedures, and the results were subjected to statistical analysis. Results: Baseline ROE scores were identical in both groups (1.2 vs. 1.2; p > 0.05). At three months, PR demonstrated significantly higher ROE scores (3.8 vs. 3.7; p 0.05). SCHNOS-Cosmesis and NOSE outcomes did not differ significantly at any point. WHOQOL-BREF results indicated significant postoperative improvement across all domains in both groups (p < 0.001). Conclusions: PR provides higher early satisfaction, but both PR and SR yield progressive improvement and comparable longer-term outcomes. Quality of life and self-esteem improved regardless of surgical technique.

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