Patient Satisfaction and Quality of Life Following Cosmetic Surgery: A Multicentre Cross-Sectional Study

Abstract

Background: Cosmetic surgery significantly impacts patient satisfaction and quality of life, reflecting physical and psychological outcomes. A multicenter evaluation provides insights into these dimensions across diverse populations and practices. Objectives: The purpose of the study was to evaluate postoperative changes in quality of life (physical, emotional, and social domains) and to determine demographic factors (age and gender) in the influence of these results. Methods: Study was conducted in different cosmetic surgery clinics in Lahore, were selected total of n=100 patients who had undergone cosmetic procedures in the past 6 months. Preoperatively and 3 to 6 months postoperatively, the SF-36 quality of life questionnaire was given. Changes in quality-of-life scores were assessed using paired t tests and interactions between demographics and procedure types were explored using two-way ANOVA. Predictors of improved physical functioning were identified using multiple linear regression. Results: The largest emotional well-being gains were seen with breast augmentation and rhinoplasty (47% (95% CI: 40–54%) and 41% (95% CI: 35–48%), respectively; p<0.05). Liposuction resulted in a 38% improvement in physical functioning (95% CI: 32–44%, p<0.001). Botox and dermal fillers were associated with 30% (95% CI: 24–36%, p < 0.05) and 28% (95% CI: 21–34%, p < 0.01) improvement in social functioning, respectively. Physical functioning improvement was strongest for liposuction (β = 0.45, p<0.001), while younger patients experienced greater improvements (β = -0.31, p < 0.01). Conclusion: Cosmetic procedures have significant impact on physical, emotional and social quality of life, and outcomes depend on procedure type and demographics.