Original Article


Hypochondriasis in Patients Seeking Revision Rhinoplasty

Ali Safavi Naieni, Ali Goljanian tabrizi, Jahangir Ghorbani

Journal of Otorhinolaryngology and Facial Plastic Surgery, Vol. 2 No. 3 (2016), 24 Esfand 2017,
https://doi.org/10.22037/orlfps.v2i3.14251

Abstract

Background: Revision rhinoplasty is one of the most complicated surgeries. However, there exists a lack of information about the psychological status of the non-traumatic revision rhinoplasty candidates.

Purpose: The purpose of the present research is to investigate the frequency of hypochondria among these patients. 

Methods: The current study was designed prospectively with 57 patients seeking revision rhinoplasty from June 2015 to July 2016 in two university hospitals. There were 57 candidates of revision rhinoplasty and 47 participants in the control group, from which 33 (32.4%) were male and 69 (67.6%) were female. The control group was selected randomly from patients visiting the otolaryngology clinic who had no previous type of cosmetic surgery. The data were analysed using the software program SPSS, performing a MANOVA test.

Results: Among 102 participants in our study, 57 (55.88%) were candidates of revision rhinoplasty with 11 (19.25%) male and 46 (80.70%) female patients.  The average age was 25.56±6.52 years old among the patients. Most of the patients (78.94%) were between the age of 19 and 34. There was a significant difference between the  group seeking revision rhinoplasty and the control group in the total score of hypochondria, appearance-related mind’s preoccupation and fear/worry sub-scale (P<0.0001).

Conclusion: Our results indicated a high prevalence of appearance-related mind’s preoccupation, fear/worry and hypochondria among revision rhinoplasty candidates. Our data showed that decision on seeking revision rhinoplasty is a personal opinion, which may not be affected by friends and family.