Psychiatric Issues in Cosmetic Plastic Surgery
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The objective of cosmetic surgery is increased patient self-esteem and confidence. Most patients undergoing a procedure report these results post-operatively. The success of any procedure is measured in patient satisfaction. In order to optimize patient satisfaction, literature suggests careful pre-operative patient preparation including a discussion of the risks, benefits, limitations and expected results for each procedure undertaken. As a general rule, the patients that are motivated to surgery by a desire to align their outward appearance to their body-image tend to be the most satisfied. There are some psychiatric conditions that can prevent a patient from being satisfied without regard aesthetic success. The most common examples are minimal defect/Body Dysmorphic Disorder, the patient in crisis, the multiple revision patient, and loss of identity. This paper will familiarize the audience with these conditions, symptoms and related illnesses. Case examples are described and then explored in terms of the conditions presented. A discussion of the patient’s motivation for surgery, goals pertaining to specific attributes, as well as an evaluation of the patient’s understanding of the risks, benefits, and limitations of the procedure can help the physician determine if a patient is capable of being satisfied with a cosmetic plastic surgery procedure. Plastic surgeons can screen patients suffering from these conditions relatively easily, as psychiatry is an integral part of medical school education. If a psychiatric referral is required, then the psychiatrist needs to be aware of the nuances of each of these conditions.
KeywordsPlastic surgery Cosmetic surgery Surgeon and psychiatrist cooperation Patient satisfaction Patient screening
Conflict of interest
The authors have no conflict of interests.
- 2.Aiken RCB: Measurement of feelings using visual analogue scales. Proceedings of the Royal Society of Medicine 62:989, 1969.Google Scholar
- 3.American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 4th edn., text revision. Washington, DC, American Psychiatric Association, pp. 507–511, 2000.Google Scholar
- 4.Crown, S, Crisp AH: Manual of the Crown–Crisp Experimental Index. London, Hodder and Stoughton, 1979.Google Scholar
- 10.Pruzinsky T, Edgerton MT: Body-image change in cosmetic plastic surgery. In: Cash TF, Pruzinsky T (Eds) Body Images: Development, Deviance, and Changes. New York, Guilford Press, pp. 217–236, 1990.Google Scholar
- 11.Pruzinsky T: Psychological factors in cosmetic plastic surgery: Recent developments in patient care. Plastic Surgery News 13:64, 1993.Google Scholar