Persona non grata: Identifying patients unsuitable for aesthetic dermatologic procedures

Area of Science:

• Aesthetic Dermatology
• Medical Ethics
• Psychodermatology

Background:

• The aesthetic dermatology field is rapidly expanding, leading to increased patient demand for cosmetic procedures.
• Heightened patient expectations necessitate careful consideration of treatment outcomes and safety.
• Ethical medical practice requires dermatologists to prioritize patient safety, sometimes necessitating refusal of treatment.

Purpose of the Study:

• To explore situations where dermatologists should decline aesthetic procedures.
• To identify patient profiles requiring caution in aesthetic dermatology.
• To examine ethical, medical, and psychological factors influencing treatment decisions.

Main Methods:

• Literature review of ethical considerations in aesthetic dermatology.
• Analysis of psychological factors, including unrealistic expectations and body dysmorphic disorder.
• Discussion of legal safeguards for patient selection.

Main Results:

• The "persona non grata" concept is a useful metaphor for unsuitable patients in aesthetic dermatology.
• Ethical issues include informed consent, patient autonomy, and the duty to avoid harm.
• Psychological factors like unrealistic expectations and social media influence are key considerations.

Conclusions:

• Responsible aesthetic dermatology hinges on careful patient selection and comprehensive assessments.
• Recognizing high-risk patients is vital for professional integrity and minimizing complications.
• Clear communication and thorough medical and psychological evaluations are fundamental.