Psychiatric disorders in aesthetic medicine: the importance of recognizing signs and symptoms

Psychiatric disorders are widely reported in patients seeking aesthetic treatments. Although they are not necessarily a contraindication for procedures, the recognition of these symptoms by the professional tends to strengthen the professional-patient relationship, thus leading to a better prognosis. This reduces the chances of dissatisfaction, complications, and aggravation of psychiatric symptoms, in addition to avoiding legal complications. In this article, the most common psychiatric disorders arising in cosmetic and aesthetic treatment are presented and discussed, as well as guidelines for recognizing the symptoms and managing these patients. ■ ABSTRACT

[1]  H. Kuokkanen,et al.  Does Liposuction Improve Body Image and Symptoms of Eating Disorders? , 2015, Plastic and reconstructive surgery. Global open.

[2]  H. Kuokkanen,et al.  Abdominoplasty Improves Quality of Life, Psychological Distress, and Eating Disorder Symptoms: A Prospective Study , 2014, Plastic surgery international.

[3]  R. Zojaji,et al.  Personality Characteristics of Patients Seeking Cosmetic Rhinoplasty , 2014, Aesthetic Plastic Surgery.

[4]  D. Morioka,et al.  Borderline Personality Disorder and Aesthetic Plastic Surgery , 2014, Aesthetic Plastic Surgery.

[5]  M. Scheithauer,et al.  [What rhinoplasty surgeons should know about body dysmorphic disorder (BDD)]. , 2014, Laryngo- rhino- otologie.

[6]  J. Kavanagh,et al.  Psychosocial Predictors, Assessment, and Outcomes of Cosmetic Procedures: A Systematic Rapid Evidence Assessment , 2014, Aesthetic Plastic Surgery.

[7]  J. Fox,et al.  The measurable cost of complications for outpatient cosmetic surgery in patients with mental health diagnoses. , 2014, Aesthetic surgery journal.

[8]  V. Veer,et al.  Pre-operative considerations in aesthetic facial surgery , 2014, The Journal of Laryngology & Otology.

[9]  M. Barone,et al.  Preoperative symptoms of body dysmorphic disorder determine postoperative satisfaction and quality of life in aesthetic rhinoplasty. , 2013, Plastic and reconstructive surgery.

[10]  S. Sonnad,et al.  Influence of surgical and minimally invasive facial cosmetic procedures on psychosocial outcomes: a systematic review. , 2013, JAMA dermatology.

[11]  N. Rahmani,et al.  Vitamin E and its clinical challenges in cosmetic and reconstructive medicine with focus on scars; a review. , 2013, JPMA. The Journal of the Pakistan Medical Association.

[12]  Alessandra Haddad,et al.  Assessment of Quality of Life in Patients Who Underwent Minimally Invasive Cosmetic Procedures , 2013, Aesthetic Plastic Surgery.

[13]  D. Sarwer,et al.  Body image dysmorphic disorder in persons who undergo aesthetic medical treatments. , 2012, Aesthetic surgery journal.

[14]  M. Bublik,et al.  Psychological Considerations in the Revision Rhinoplasty Patient , 2012, Facial Plastic Surgery.

[15]  H. Kuokkanen,et al.  The Effects of Aesthetic Breast Augmentation on Quality of Life, Psychological Distress, and Eating Disorder Symptoms: A Prospective Study , 2012, Aesthetic Plastic Surgery.

[16]  P. Muris,et al.  Psychopathology symptoms in a sample of female cosmetic surgery patients. , 2012, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[17]  J. Rosenvinge,et al.  Predicting interest in liposuction among women with eating problems: a population-based study. , 2012, Body image.

[18]  Jennifer D. Lyne,et al.  Personality disorders in patients seeking appearance-altering procedures. , 2010, Oral and maxillofacial surgery clinics of North America.

[19]  C. Gramaglia,et al.  Self-esteem and personality in subjects with and without body dysmorphic disorder traits undergoing cosmetic rhinoplasty: preliminary data. , 2010, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[20]  Luciana Archetti Conrado.  Transtorno dismórfico corporal em dermatologia: diagnóstico, epidemiologia e aspectos clínicos , 2009 .

[21]  I. L. Kvalem,et al.  The effects of cosmetic surgery on body image, self-esteem, and psychological problems. , 2009, Journal of plastic, reconstructive & aesthetic surgery : JPRAS.

[22]  R. J. Wright,et al.  Psychological considerations in revision rhinoplasty. , 2008, Facial plastic surgery : FPS.

[23]  B. Aouizerate,et al.  Body dysmorphic disorder and cosmetic surgery: Evolution of 24 subjects with a minimal defect in appearance 5 years after their request for cosmetic surgery , 2007, European Psychiatry.

[24]  M. Franklin,et al.  Body Dysmorphic Disorder and Cosmetic Surgery , 2006, Plastic and reconstructive surgery.

[25]  I. Glick,et al.  Psychiatric conditions in cosmetic surgery patients. , 2006, Facial plastic surgery : FPS.

[26]  W. Menard,et al.  Nonpsychiatric medical treatment of body dysmorphic disorder. , 2005, Psychosomatics.

[27]  K. Phillips,et al.  A Review of Psychosocial Outcomes for Patients Seeking Cosmetic Surgery , 2004, Plastic and reconstructive surgery.

[28]  S. Davison.  Principles of managing patients with personality disorder , 2002 .

[29]  K. Phillips,et al.  Surgical and nonpsychiatric medical treatment of patients with body dysmorphic disorder. , 2001, Psychosomatics.

[30]  D. Veale.  Outcome of cosmetic surgery and ‘DIY’ surgery in patients with body dysmorphic disorder , 2000 .

[31]  T. Schoeller,et al.  Psychiatric Patients Who Desire Aesthetic Surgery: Identifying the Problem Patient , 2000, Annals of plastic surgery.

[32]  J. Ishigooka,et al.  Demographic features of patients seeking cosmetic surgery , 1998, Psychiatry and clinical neurosciences.

[33]  S. G. Willard,et al.  Lipoplasty in the bulimic patient. , 1996, Plastic and reconstructive surgery.

[34]  A. Napoleon.  The Presentation of Personalities in Plastic Surgery , 1993, Annals of plastic surgery.

[35]  N. Groenman,et al.  Personality characteristics of the cosmetic surgical insatiable patient. , 1983, Psychotherapy and Psychosomatics.

[36]  J. Kwentus,et al.  Psychiatric perspectives on facial cosmetic surgery. , 1980, Ear, nose, & throat journal.

[37]  M. R. Wright.  Management of patient dissatisfation with results of cosmetic procedures. , 1980, Archives of otolaryngology.