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Importance of a psychiatric approach in cosmetic surgery
Kazuhiro Hayashi1, Hideo Miyachi, Nobuaki Nakakita
1Department of Plastic and Aesthetic Surgery, Kitasato University School of Medicine, 1-15-1, Kitasato, Sagamihara 228-8555, Japan.
Background:
Some studies have suggested that certain types of psychiatric problems may be more prevalent in patients undergoing cosmetic surgery than in the general population.
Objective:
In this study, 140 patients undergoing cosmetic surgery took a screening test before surgery. The results were statistically analyzed to evaluate the importance of a psychiatric approach in cosmetic surgery.
Methods:
At the first visit to the clinic, an interview was carried out in the presence of a psychiatrist. If needed, a secondary evaluation was performed on those patients with suspected psychological disorders.
Results:
Preoperative screening led to the diagnosis of psychiatric disorders in 45 of 140 patients (32%). Final psychiatric diagnoses included neuroses such as body dysmorphic disorder and depression/depressive states.
Conclusions:
It is sometimes beneficial to prioritize psychiatric treatment instead of focusing solely on surgical treatment to achieve better outcomes in patients undergoing cosmetic surgery who have psychiatric disorders. Preoperative psychiatric screening should be routine in the practice of cosmetic surgery.
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