DOI: https://doi.org/10.36347/sasjs.2026.v12i05.030

Pages: 487-500

Introduction: Cosmetic rhinoplasty is a complex surgical procedure that requires precise mastery of nasal anatomy, an understanding of patients' psychological expectations, and adaptation to ethnic specificities. In the North African context, the morphological particularities of the nose often necessitate specific technical adjustments to balance aesthetics and function. Materials and Methods: This descriptive, retrospective, and comparative study included 55 patients who underwent surgery between January 2021 and December 2024 at the Plastic and Reconstructive Surgery Department of Mohammed VI University Hospital in Tangier. The analysis included demographic data, morphometric assessments [using ImageJ and Anglemeter Pro software], and a measure of postoperative satisfaction via the SNAP score [0–10]. Results: A clear female predominance [80%] was observed, with a mean age of 30 years. Nearly all patients [98.2%] presented with both aesthetic and functional discomfort. The dominant characteristics included a wide nose [83.6%], dorsum asymmetry [90.9%], and an insufficiently projected tip [60%]. The open approach was preferred in 96.4% of cases. All patients underwent structural rhinoplasty. The most frequent procedures included septoplasty [92.7%], osteotomy [78.2%], and Sheen's line sculpting [83.6%]. Postoperative complications were moderate [edema, ecchymosis] with no cases of infection. The level of satisfaction was very high, with a median SNAP score of 10/10. At one year, 78.2% of the results are considered optimal and natural, and no reintervention was necessary. Conclusion: Aesthetic rhinoplasty, when approached structurally and individually, proves to be a safe and effective procedure within the Moroccan morphological context. This study underscores the importance of integrating rigorous morphometric analysis and psychological evaluation to achieve a harmonious balance between form and respiratory function.