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Psychological risks associated with appearance-altering procedures: issues "facing" cosmetic surgery
Walter F Ricci1, Steven J Prstojevich, Harriet S Langley
1Department of Psychiatry, University of Missouri-Kansas City, School of Medicine, Kansas City, MO, USA.
Oral and Maxillofacial Surgery Clinics of North America
|October 26, 2010
Summary
Evaluating psychological risk in cosmetic surgery is complex and requires surgeons to assess multiple patient factors. A simple checklist is insufficient; comprehensive evaluation of personality, relationships, and context is crucial for patient safety.
Area of Science:
- Psychology
- Plastic Surgery
- Medical Ethics
Background:
- The relationship between cosmetic surgery and patient psychology is intricate.
- Surgeons often seek simplified methods for assessing psychological suitability for elective procedures.
- Quantifying psychological risk presents significant challenges for surgical practitioners.
Purpose of the Study:
- To highlight the complex interplay between cosmetic surgery and psychological factors.
- To emphasize the inadequacy of simplistic checklists for risk assessment.
- To advocate for a comprehensive, multi-variable approach to evaluating patient suitability.
Main Methods:
- Objective screening and review of patient variables.
- Evaluation of the surgical issue and patient personality.
- Assessment of family/relationship dynamics and situational context.
Main Results:
- A "short and sweet" checklist for psychological risk is unrealistic.
- Surgeons must consider a broad range of factors beyond technical aspects.
- Patient resiliency and the surgeon's self-awareness are key components.
Conclusions:
- Comprehensive psychological evaluation is essential for cosmetic surgery.
- Surgeons need to move beyond simplified assessments to ensure patient well-being.
- A nuanced understanding of patient psychology, relationships, and context is paramount.
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