Nuri Can Tanrısever, M. Okan Akçam
Background/Objectives: Le Fort I osteotomy, a commonly performed maxillary surgical procedure, is known to influence nasal aesthetics and perceived breathing function due to its close anatomical relationship with the nasal structures. While objective nasal changes have been extensively documented, patient-reported perceptions of aesthetic appearance and breathing remain clinically important for evaluating surgical success. This study aimed to assess patient-reported perceptions of nasal aesthetic and functional outcomes following Le Fort I osteotomy using a postoperative survey-based approach. Materials and Methods: This study included 200 patients (mean age: 25 ± 4.19 years) who underwent Le Fort I osteotomy at the Department of Orthodontics, Ankara University. Patient perceptions of nasal aesthetics and breathing were evaluated using a structured Likert-scale questionnaire administered six months postoperatively. Perceived preoperative conditions and current postoperative perceptions were assessed within the same survey. Statistical analysis was performed using SPSS version 26, with the significance level set at p < 0.05. Results: The findings demonstrated a statistically significant improvement in patient-reported satisfaction with nasal appearance and perceived breathing comfort following surgery. A greater proportion of patients reported increased satisfaction with their nasal aesthetics, believed that others viewed their nasal appearance more positively, and experienced improved nasal breathing in the postoperative period. Conclusions: Le Fort I osteotomy was associated with positive patient-reported perceptions of both nasal aesthetics and breathing function. However, individual anatomical characteristics and patient expectations appear to influence the perceived outcomes. These findings underscore the value of incorporating patient-reported outcome measures into preoperative counseling and postoperative evaluation in orthognathic surgery.