Evaluation of Patient Satisfaction and Quality of Life in Patients Undergoing Rhinoplasty Systematic Review and Meta-Analysis

Abstract

Background: Rhinoplasty is a widely performed cosmetic and functional procedure. Despite its popularity, postoperative dissatisfaction remains a common concern. This study aims to assess patient satisfaction and quality of life using the rhinoplasty outcome evaluation (ROE) survey, to help improve preoperative planning and postoperative care. Patients and Methods: A systematic literature review was conducted in PubMed, Cochrane, Google Scholar, EBSCO, and Web of Science using the terms “Rhinoplasty OR Septorhinoplasty,” “Satisfaction OR Prognosis OR Outcome,” “Quality of Life OR QoL,” and “ROE OR Rhinoplasty Outcome Evaluation.” All studies published between 2018 and 2024 were selected, and nonrelevant studies were excluded after full text review. Results: Twenty-four studies were included in a meta-analysis comparing ROE scores pre- and postoperative. The results demonstrated a significant improvement in satisfaction and quality of life postoperatively. The subgroup analysis revealed a notable variation in the outcome according to the country of origin. Although the study heterogeneity was high (I2 = 99.8%), a random-effects model was used for the analysis. Conclusions: Gender was not a major determinant of satisfaction. However, the country of origin significantly influenced ROE scores. These findings emphasize the need for culturally sensitive counseling, individualized surgical planning, and management of patient expectations to enhance satisfaction.