Dorsal reduction has a greater effect than tip manipulation in adding value to social perception of the facial profile of patients undergoing cosmetic rhinoplasty, according to a study published online June 7 in JAMA Facial Plastic Surgery.

Cherian K. Kandathil, M.D., from Stanford University in California, and colleagues assessed the social perception of four patients who underwent cosmetic rhinoplasty. An online survey showed 813 participants original and simulated images in order for them to estimate age, approachability, perceived success, overall health, and intelligence, and to rate attractiveness on a visual analogue scale (0 to 100).