Qualitative and Quantitative Assessment of Four Artificial Intelligence Systems for Nasal Deformity Analysis in Rhinoplasty.

No model achieved significant performance on MIRA sub-scores in the quantitative analysis of nasal deformity.

The qualitative assessment shows that ChatGPT4o could assist, under supervision, with rhinoplasty assessments to analyse major nose types. However, it was effective in only two-thirds of cases.

To date, artificial intelligence tools are not reliable for analysing nasal deformities. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article.