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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.

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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.