scholarly journals Outcome of cosmetic surgery and ‘DIY’ surgery in patients with body dysmorphic disorder

2000 ◽  
Vol 24 (6) ◽  
pp. 218-221 ◽  
Author(s):  
David Veale
Keyword(s):  
Selection Bias ◽  
Prospective Studies ◽  
Cosmetic Surgery ◽  
Body Dysmorphic Disorder ◽  
Clinical Implications ◽  
Psychiatric Assessment ◽  
The Past

Aims and MethodLittle is known about the outcome of cosmetic surgery in patients with body dysmorphic disorder (BDD). Self-reported outcome was collected on 25 patients with BDD who at the time of psychiatric assessment had reported that they had had cosmetic surgery in the past.ResultsTwenty-five patients with BDD had a total of 46 procedures. The worst outcome was found in those who had had rhinoplasty and those with repeated operations. Mammoplasty and pinnaplasty was associated with higher degrees of satisfaction. Nine patients with BDD, either in desperation at being turned down for cosmetic surgery or because they could not afford it, had performed their own ‘DIY’ surgery in which they attempted by their own hand to alter their appearance dramatically.Clinical ImplicationsCosmetic surgery cannot at present be recommended for patients with BDD. However, patients turned down for surgery or who cannot afford it, may try to alter their appearance by themselves. The study contains a selection bias of patients in favour of treatment failures in cosmetic surgery and prospective studies are required on BDD patients who obtain cosmetic surgery or dermatological treatment.

scholarly journals Psychiatric Assessment and Management of Clients Undergoing Cosmetic Surgery: Overview and Need for an Integrated Approach

2021 ◽  
Author(s):  
Sharmi Bascarane ◽  
Pooja P. Kuppili ◽  
Vikas Menon
Keyword(s):  
Mental Health ◽  
Cosmetic Surgery ◽  
English Language ◽  
Body Dysmorphic Disorder ◽  
Psychiatric Morbidity ◽  
Integrated Approach ◽  
Assessment Tools ◽  
Health Issues ◽  
Psychiatric Assessment ◽  
Postsurgical Outcomes

Abstract Background Psychiatric disorders are more common among people undergoing cosmetic procedures than the general population and evaluating mental health can be cumbersome for plastic surgeons. We aim to summarize the available literature in this regard and propose an integrated approach to psychiatric assessment and management of mental health issues among this group. Methods Electronic search of MEDLINE, Google Scholar, and PsycINFO databases was done to identify relevant peer-reviewed English language articles from inception till April 2020. Generated abstracts were screened for their eligibility. Included articles were grouped according to their thematic focus under the following headings; prevalence of psychiatric morbidity among clients posted for cosmetic surgery, assessment tools, and management of psychiatric morbidity in relation to undergoing cosmetic surgery. Results A total of 120 articles were reviewed. The prevalence of psychiatric disorder in patients undergoing cosmetic surgery was 4 to 57% for body dysmorphic disorder (BDD); the corresponding figures for depression, anxiety, and personality disorder were 4.8 to 25.8, 10.8 to 22, and 0 to 53%, respectively. A range of tools have been used to assess these disorders and specific measures are also available to assess clinical outcomes following surgery. Screening for these disorders is essential to prevent unnecessary surgical procedures, as well as to ensure timely management of the psychiatric comorbidity. Conclusion Psychiatric morbidity is a common concomitant in cosmetic surgery. A structured and integrated approach to evaluation and management of psychiatric morbidity will help to optimize postsurgical outcomes.

Laryngeal Manifestations of Autoimmune Diseases

2020 ◽  
Vol 5 (2) ◽  
pp. 439-456
Author(s):  
Jenny L. Pierce
Keyword(s):  
Autoimmune Disease ◽  
Autoimmune Diseases ◽  
Patient Outcomes ◽  
Correct Diagnosis ◽  
Upper Airway ◽  
Clinical Implications ◽  
Laryngeal Function ◽  
The Past ◽  
Referral Practices ◽  
Timely Referral

Purpose This review article provides an overview of autoimmune diseases and their effects on voice and laryngeal function. Method A literature review was conducted in PubMed. Combinations of the following keywords were used: “autoimmune disease and upper airway,” “larynx,” “cough,” “voice,” “dysphonia,” and “dyspnea.” Precedence was given to articles published in the past 10 years due to recent advances in this area and to review articles. Ultimately, 115 articles were included for review. Results Approximately 81 autoimmune diseases exist, with 18 of those highlighted in the literature as having laryngeal involvement. The general and laryngeal manifestations of these 18 are discussed in detail, in addition to the clinical implications for a laryngeal expert. Conclusions Voice, breathing, and cough symptoms may be an indication of underlying autoimmune disease. However, these symptoms are often similar to those in the general population. Appropriate differential diagnosis and timely referral practices maximize patient outcomes. Guidelines are provided to facilitate correct diagnosis when an autoimmune disease is suspected.

scholarly journals Body Dysmorphic Disorder in Patients With Cosmetic Surgery

2010 ◽  
Vol 26 (9) ◽  
pp. 478-482 ◽  
Author(s):  
Chung-Sheng Lai ◽  
Su-Shin Lee ◽  
Yi-Chun Yeh ◽  
Cheng-Sheng Chen
Keyword(s):  
Cosmetic Surgery ◽  
Body Dysmorphic Disorder

scholarly journals Ethical and legal issues in aesthetic surgery

2012 ◽  
Vol 45 (03) ◽  
pp. 547-549 ◽  
Author(s):  
Suresh Gupta
Keyword(s):  
Cosmetic Surgery ◽  
Aesthetic Surgery ◽  
General Medical Council ◽  
Medical Council ◽  
Criminal Proceedings ◽  
The Past ◽  
Supreme Court Of India ◽  
The Supreme Court ◽  
Ethical And Legal Issues ◽  
Lay Public

ABSTRACTRapid growth and expansion of plastic surgery in general and aesthetic surgery in particular in the past decade has brought in its wake some confusions particularly raising questions for the surgeons conduct towards his colleagues and the patients in the light of ethical requirements. Some thoughts from eminent thinkers form a backdrop to consideration of theories of medical ethics. In this article raging and continuous debates on these subjects have been avoided to maintain the momentum. Apart from the western thoughts, directions from our old scriptures on ethical conduct have been included to accommodate prevelant Indian practices. The confusion created by specialists advertising their abilities directly to the lay public following removal of ethical bars by the American Courts as also latitudes allowed by the General Medical Council of Great Britain have been discussed. The medical fraternity however has its reservations. Unnecessary skirmishes with the law arose in cosmetic surgery from the freedom exercised by the police to file criminal proceedings against attending doctors in the event of a patient′s death with or without any evidence of wrong doing. This has now been curtailed in the judgement of the Supreme Court of India[1] where norms have been laid down for such prosecution. This has helped doctors to function without fear of harassment. An effort has been made to state a simple day-to-day routine for an ethical doctor-patient relationship.

scholarly journals Patient engagement and problematic behaviours in nurse-staffed residential rehabilitation units

2014 ◽  
Vol 38 (6) ◽  
pp. 260-264 ◽  
Author(s):  
Alan Meaden ◽  
Martin Commander ◽  
Colin Cowan ◽  
Tom Edwards
Keyword(s):  
Clinical Implications ◽  
Complex Care ◽  
The Past ◽  
Everyday Activities ◽  
Community Rehabilitation ◽  
High Dependency ◽  
Total Data ◽  
Research Findings ◽  
Two Measures ◽  
Residential Rehabilitation

Aims and methodTo build on previous research findings by examining engagement and problematic behaviours of patients in 10 residential rehabilitation units. Two measures were completed on patients in community rehabilitation, longer-term complex care and high-dependency units (109 patients in total). Data were analysed and categorised into higher-engagement ratings across the domains of engagement and behaviour over the past 6 months and lifetime in terms of presence of the behaviour and likelihood of resulting harm.ResultsData were available for 73% of patients. All aspects of engagement were consistently low for all units, with highest levels in community rehabilitation units. Levels of problematic behaviours were similar across all units. Socially inappropriate behaviours and failure to complete everyday activities were evident for over half of all patients and higher for lifetime prevalence. Verbal aggression was at significantly lower levels in community units. Lifetime behaviours likely to lead to harm were much more evident in high-dependency units.Clinical implicationsDespite some benefits of this type of care, patients continue to present challenges in engagement and problematic behaviours that require new approaches and a change in focus.

The Neuropsychology of Movement and Movement Disorders: Neuroanatomical and Cognitive Considerations

2017 ◽  
Vol 23 (9-10) ◽  
pp. 768-777 ◽  
Author(s):  
Kathleen Y. Haaland ◽  
Richard P. Dum ◽  
Pratik K. Mutha ◽  
Peter L. Strick ◽  
Alexander I. Tröster
Keyword(s):  
Motor System ◽  
Movement Control ◽  
Neural Circuitry ◽  
Future Research ◽  
Clinical Implications ◽  
Hemispheric Differences ◽  
Healthy Individuals ◽  
The Past ◽  
Cognitive Influences ◽  
Parallel Circuits

AbstractThis paper highlights major developments over the past two to three decades in the neuropsychology of movement and its disorders. We focus on studies in healthy individuals and patients, which have identified cognitive contributions to movement control and animal work that has delineated the neural circuitry that makes these interactions possible. We cover advances in three major areas: (1) the neuroanatomical aspects of the “motor” system with an emphasis on multiple parallel circuits that include cortical, corticostriate, and corticocerebellar connections; (2) behavioral paradigms that have enabled an appreciation of the cognitive influences on the preparation and execution of movement; and (3) hemispheric differences (exemplified by limb praxis, motor sequencing, and motor learning). Finally, we discuss the clinical implications of this work, and make suggestions for future research in this area. (JINS, 2017, 23, 768–777)

scholarly journals Chronic Myelomonocytic Leukemia—Hematopathology Perspective

2021 ◽  
Author(s):  
Siba El Hussein ◽  
Sa A. Wang ◽  
Naveen Pemmaraju ◽  
Joseph D. Khoury ◽  
Sanam Loghavi
Keyword(s):  
Risk Stratification ◽  
Large Scale ◽  
Chronic Myelomonocytic Leukemia ◽  
Clinical Implications ◽  
The Past ◽  
Genomic Landscape ◽  
Sequencing Studies ◽  
Myelomonocytic Leukemia ◽  
Insight Into

ABSTRACT Our understanding of chronic myelomonocytic leukemia (CMML) has evolved tremendously over the past decade. Large-scale sequencing studies have led to increased insight into the genomic landscape of CMML and clinical implications of these changes. This in turn has resulted in refined and improved risk stratification models, which to date remain versatile and subject to remodeling, as new and evolving studies continue to refine our understanding of this disease. In this article, we present an up-to-date review of CMML from a hematopathology perspective, while providing a clinically practical summary that sheds light on the constant evolution of our understanding of this disease.

scholarly journals Prevalence of Body Dysmorphic Disorder Among Rhinoplasty Candidates: A Systematic Review

2021 ◽  
pp. 014556132110565
Author(s):  
Ibrahim AlAwadh ◽  
Ahmad Bogari ◽  
Turki Azhar ◽  
Nada AlTaylouni ◽  
Naif AlSughier ◽  
...  
Keyword(s):  
Systematic Review ◽  
Body Image ◽  
Cosmetic Surgery ◽  
Body Dysmorphic Disorder ◽  
Web Of Science ◽  
Total Sample ◽  
Prevalence Rates ◽  
Inclusion Criteria ◽  
Electronic Search ◽  
Adequate Management

Objective Body dysmorphic disorder (BDD) represents a bridge between the fields of psychiatry and cosmetic surgery. It is a psychiatric disorder involving altered body image and has been associated with cosmetic surgery. Many studies have investigated BDD following rhinoplasty. However, their findings were inconsistent, which prompted us to conduct this systematic review to obtain strong evidence about the prevalence of BDD among rhinoplasty candidates. Methods We searched the literature using electronic databases such as PubMed, Scopus, Web of Science, and others using keywords relevant to the study outcomes. We also manually examined the references of the included studies and relevant reviews to look for articles that might have been missed during the electronic search. Results Nine articles met the inclusion criteria. We identified 7 other relevant articles; since they had been included in a review conducted in 2016, they were not included in the final list of articles. However, they were included in the discussion, and their findings have been compared with ours. The included articles resulted in a total sample of 712 rhinoplasty candidates. The estimated prevalence rates of BDD in these articles ranged from 22% to 52%, which was considered high by all the authors of the included studies. Conclusion The prevalence of BDD among rhinoplasty candidates is high, and adequate management and interventions are needed to reduce it.

Cosmetic surgery and neoliberalisms: Managing risk and responsibility

2011 ◽  
Vol 22 (1) ◽  
pp. 122-141 ◽  
Author(s):  
Michelle Leve ◽  
Lisa Rubin ◽  
Andrea Pusic
Keyword(s):  
Cosmetic Surgery ◽  
The Political ◽  
Feminist Scholarship ◽  
Self Presentation ◽  
Surgical Risk ◽  
The Past ◽  
Facial Surgery ◽  
Managing Risk ◽  
Feminine Body

The practice and culture of cosmetic surgery has proliferated in the past two decades. While much feminist scholarship has investigated women’s surgical stories, as well as the gendered sociocultural and sociopolitical contexts surrounding, and promoting, the ‘choice’ of surgery, very little research has examined material and symbolic risks associated with cosmetic surgery. This study employs a feminist interpretative phenomenological (IPA) approach to investigate cosmetic surgical risk experiences, as narrated by seven women who underwent aesthetic facial surgery. Our analysis focuses on how participants confront, and manage, medical, consumer and self-presentation risks associated with cosmetic surgery, under the political ethos of neoliberalism. The implications of these risk experiences are discussed in relation to the increasing normalization of cosmetic surgery and patriarchal/neoliberal obligations to construct a ‘feminine’ body through socially sanctioned practices.

Sign in / Sign up

Export Citation Format

Share Document