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The dangerous dozen--avoiding potential problem patients in cosmetic surgery.

Peter A Adamson¹, Theodore Chen

¹Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Canada. paa@dradamson.com

Facial Plastic Surgery Clinics of North America

|March 22, 2008

Summary

Identifying at-risk cosmetic surgery patients is crucial for satisfaction. Surgeons should assess psychological factors and life situations to ensure suitability, prioritizing patient well-being over surgery itself.

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Area of Science:

Plastic Surgery
Psychology
Patient Outcomes

Background:

Patient satisfaction in cosmetic surgery is complex, influenced by both aesthetic results and psychosocial factors.
Despite increasing mainstream acceptance, certain patient psychological profiles and life circumstances can lead to dissatisfaction.

Purpose of the Study:

To categorize patients who may be at higher risk for dissatisfaction after cosmetic surgery.
To provide surgeons with characteristics to identify desirable candidates for cosmetic procedures.
To emphasize patient satisfaction as the ultimate goal, rather than the surgery itself.

Main Methods:

Review and categorization of patient profiles based on psychological conditions, behavioral patterns, and life situations.
Identification of risk factors associated with potential dissatisfaction in cosmetic surgery patients.

Main Results:

Certain psychological conditions, behavioral patterns, and life situations predispose patients to dissatisfaction.
Specific patient characteristics can be identified by surgeons to assess candidacy.
A proactive approach to patient selection can mitigate risks.

Conclusions:

Understanding patient psychosocial factors is essential for achieving satisfaction in cosmetic surgery.
Surgeons must carefully evaluate candidates to ensure alignment between patient expectations and surgical outcomes.
Prioritizing patient well-being and satisfaction guides ethical and effective cosmetic surgery practice.