The psychological impact of rhinoplasty for aesthetic reasons on psychologi
cal well-being is controversial. The aim of the present study is to assess
short- and long-term psychological changes in patients who underwent rhinop
lasty. Seventy-nine patients, without traumatic lesions, who presented for
cosmetic surgery, completed the MPI scales for Neuroticism and Extroversion
and the IPAT scale for Anxiety, 3 months before and 6 months and 5 years a
fter surgery. Results showed a significant decrease of anxiety and neurotic
ism in both postoperative evaluations and an increase on the Extroversion s
cale only at the 6-month follow-up. Psychological distress persisted in mos
t patients after the operation. (C) 1999 Elsevier Science Inc.