Plastic Surgery: Review on Screening of Psychiatric Disorder

2021 ◽  
Vol 1 (5) ◽  
pp. 91-94
Author(s):  
Angeline Fenisenda
Keyword(s):  
Psychiatric Disorder ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Psychiatric Patients ◽  
Emotional Adjustment ◽  
Aesthetic Surgery ◽  
Well Being ◽  
Pilot Studies ◽  
Cosmetic Procedure ◽  
Poor Outcomes

Recently the popularity of plastic surgical procedure has been increased. Many people surgically alter their physical appearance with the intent of boosting their social and psychological well-being; however, the long-term effectiveness of aesthetic surgery on improving well-being is unconfirmed. To have successful cosmetic plastic surgery result, it is imperative to assess candidates for predictors of poor outcomes. These include the following factor : psychiatric disorder, demographic factors (male and younger age), relationship issues, unrealistic expectations, previous dissatisfied surgery, and minimal deformity. For psychiatric patients, despite having technically satisfactory cosmetic surgery, poor emotional adjustment and social functioning were seen post procedure. Proper screening and evaluation of these patients could save money and resources. In this brief review we discuss about psychiatric disorder screen on plastic surgery to prevent unwanted outcome. A literature review was conducted in the electronic database PubMed using keyword “Psychiatric Disorder”, “Plastic surgery”, “Prevention” and “Screening”. All type of studies were included for this study, such as controlled trials, systematic reviews, literature reviews, and pilot studies published between 2011 and 2021. Articles which not written in English were excluded from the study. This search resulted in 18 papers. Some patient who undergo cosmetic surgery suffer from underdiagnosed or untreated psychiatric disorder. To avoid unnecessary expense and resource it is advisable that all patient who seek cosmetic procedure undergo psychiatric screen such as PHQ-9, GAD-7, BDDQ and other test to avoid un-necessary expense and resource.

scholarly journals Plastic Surgery: Review on Screening of Psychiatric Disorder

2021 ◽  
Vol 1 (5) ◽  
pp. 91-94
Author(s):  
Angeline Fenisenda
Keyword(s):  
Psychiatric Disorder ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Psychiatric Patients ◽  
Emotional Adjustment ◽  
Aesthetic Surgery ◽  
Well Being ◽  
Pilot Studies ◽  
Cosmetic Procedure ◽  
Poor Outcomes

Recently the popularity of plastic surgical procedure has been increased. Many people surgically alter their physical appearance with the intent of boosting their social and psychological well-being; however, the long-term effectiveness of aesthetic surgery on improving well-being is unconfirmed. To have successful cosmetic plastic surgery result, it is imperative to assess candidates for predictors of poor outcomes. These include the following factor: psychiatric disorder, demographic factors (male and younger age), relationship issues, unrealistic expectations, previous dissatisfied surgery, and minimal deformity. For psychiatric patients, despite having technically satisfactory cosmetic surgery, poor emotional adjustment and social functioning were seen post procedure. Proper screening and evaluation of these patients could save money and resources. In this brief review we discuss about psychiatric disorder screen on plastic surgery to prevent unwanted outcome. A literature review was conducted in the electronic database PubMed using keyword “Psychiatric Disorder”, “Plastic surgery”, “Prevention” and “Screening”. All type of studies were included for this study, such as controlled trials, systematic reviews, literature reviews, and pilot studies published between 2011 and 2021. Articles which not written in English were excluded from the study. This search resulted in 18 papers. Some patient who undergo cosmetic surgery suffer from underdiagnosed or untreated psychiatric disorder. To avoid unnecessary expense and resource it is advisable that all patient who seek cosmetic procedure undergo psychiatric screen such as PHQ-9, GAD-7, BDDQ and other test to avoid un-necessary expense and resource.

Cosmetic Surgery: A Subspecialty That Needs Specialized Training and Recognition

2021 ◽  
pp. 074880682110518
Author(s):  
Kamran Dastoury ◽  
Jacob Haiavy ◽  
Jane Petro ◽  
Martha Ayewah
Keyword(s):  
American Academy ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Training Programs ◽  
Aesthetic Surgery ◽  
Fellowship Training ◽  
Subspecialty Training ◽  
Plastic And Reconstructive Surgery ◽  
Surgery Training ◽  
American Society

Introduction: This study was performed to provide a comprehensive review of the breadth and depth of fellowship training provided by the American Academy of Cosmetic Surgery (AACS), with direct comparison with other current aesthetic surgery training programs available in the United States. We hypothesized that this subspecialty training provides essential experience and confidence to perform aesthetic procedures, which are likely not adequately imparted during traditional residency training. We also address the notion that Cosmetic Surgery is not under the sole ownership of one specialty, but rather a subspecialty that flourishes by collaboration between multidisciplinary surgical backgrounds. Materials and Methods: We performed a cross-sectional study of survey data from 2 distinct groups—current fellows in a 1-year AACS program and surgeons who completed an AACS fellowship between July 2008 and June 2017, who have been in active cosmetic surgery practice ranging from 6 months to over 6 years. A survey was administered via email and distributed by the AACS central office. The responses were compared with data published in the Annals of Plastic Surgery concerning Recent Trends in Resident Career Choices after Plastic Surgery Training. Results: The Accreditation Council for Graduate Medical Education (ACGME) requirements for aesthetic surgical cases in a 6-year Plastic Surgery program are 150 cases, but 50% of graduating seniors feel inadequately prepared to transition straight into aesthetic surgery practice, whereas among AACS graduating fellows, 100% feel very prepared to go on the aesthetic surgery practice, having completed an average of 687 cases within the yearlong training program. We note that the survey response rate was 81% among current fellows versus 35% among practicing surgeons. Discussion: We believe that focused subspecialty training in cosmetic surgery after completion of a primary surgical residency in a form of a structured fellowship through AACS, American Society of Plastic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, Commission on Dental Accreditation, and American Society of Ophthalmic Plastic and Reconstructive Surgery (Oculoplastic) is the ideal preparation for the future. As we learn from each other through fellowship training, academic conferences, and research, this will further advance the subspecialty and ultimately improve patient care and outcomes. There is no evidence that these training programs provide less adequate preparation, although they are not accredited by the ACGME. To the contrary, the additional experience and knowledge gained during these fellowship training programs result in better outcomes and more competent practitioners. Conclusions: The development of subspecialty training and board certification for surgeons committed to cosmetic surgery yields the highest level of qualified providers. The diverse backgrounds of these providers continue to allow us to expand and innovate in this field. This study is aimed at moving this conversation forward in a positive direction.

Analyzing the Quality of Aesthetic Surgery Procedure Videos on TikTok

2021 ◽  
Author(s):  
Anjali Om ◽  
Bobby Ijeoma ◽  
Sara Kebede ◽  
Albert Losken
Keyword(s):  
Social Media ◽  
Breast Augmentation ◽  
Cosmetic Surgery ◽  
Video Quality ◽  
Aesthetic Surgery ◽  
Video Content ◽  
Medical Providers ◽  
Cosmetic Procedure ◽  
Different Content

Abstract Background TikTok is one of the most popular and fastest growing social media apps in the world. Previous studies have analyzed the quality of patient education information on older video platforms, but the quality of plastic and cosmetic surgery videos on TikTok has not yet been determined. Objectives To analyze the source and quality of certain cosmetic procedure videos on TikTok. Methods The TikTok mobile application was queried for content related to two popular face procedures (rhinoplasty and blepharoplasty) and two body procedures (breast augmentation and abdominoplasty). Two independent reviewers analyzed video content according to the DISCERN scale, a validated, objective criteria that assesses the quality of information on a scale of 1-5. Quality scores were compared between videos produced by medical and nonmedical creators and between different content categories. Results There were 4.8 billion views and 76.2 million likes across included videos. Videos were created by MDs (56%) and laypersons (44%). Overall average DISCERN score out of 5 corresponded to very poor video quality for rhinoplasty (1.55), blepharoplasty (1.44), breast augmentation (1.25) and abdominoplasty (1.29). DISCERN scores were significantly higher among videos produced by MDs than by laypersons for all surgeries. Comedy videos consistently had the lowest average DISCERN scores, while educational videos had the highest. Conclusions It is increasingly important that medical professionals understand the possibility of patient misinformation in the age of social media. We encourage medical providers to be involved in creating quality information on TikTok and educate patients about misinformation to best support health literacy.

scholarly journals Aesthetic Surgery Training during Residency in the United States: A Comparison of the Integrated, Combined, and Independent Training Models

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Arash Momeni ◽  
Rebecca Y. Kim ◽  
Derrick C. Wan ◽  
Ali Izadpanah ◽  
Gordon K. Lee
Keyword(s):  
United States ◽  
Minimally Invasive ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Online Survey ◽  
Aesthetic Surgery ◽  
The United States ◽  
Surgery Training ◽  
Aesthetic Procedures

Background. Three educational models for plastic surgery training exist in the United States, the integrated, combined, and independent model. The present study is a comparative analysis of aesthetic surgery training, to assess whether one model is particularly suitable to provide for high-quality training in aesthetic surgery. Methods. An 18-item online survey was developed to assess residents’ perceptions regarding the quality of training in aesthetic surgery in the US. The survey had three distinct sections: demographic information, current state of aesthetic surgery training, and residents’ perception regarding the quality of aesthetic surgery training. Results. A total of 86 senior plastic surgery residents completed the survey. Twenty-three, 24, and 39 residents were in integrated, combined, and independent residency programs, respectively. No statistically significant differences were seen with respect to number of aesthetic surgery procedures performed, additional training received in minimal-invasive cosmetic procedures, median level of confidence with index cosmetic surgery procedures, or perceived quality of aesthetic surgery training. Facial aesthetic procedures were felt to be the most challenging procedures. Exposure to minimally invasive aesthetic procedures was limited. Conclusion. While the educational experience in aesthetic surgery appears to be similar, weaknesses still exist with respect to training in minimally invasive/nonsurgical aesthetic procedures.

scholarly journals A systematic review of the factors predicting the interest in cosmetic plastic surgery

2016 ◽  
Vol 49 (03) ◽  
pp. 397-402 ◽  
Author(s):  
Panagiotis Milothridis ◽  
Leonidas Pavlidis ◽  
Anna-Bettina Haidich ◽  
Efharis Panagopoulou
Keyword(s):  
Systematic Review ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Medical Literature ◽  
Clinical Care ◽  
Self Esteem ◽  
Psychological Characteristics ◽  
Review Of The Literature ◽  
Psychosocial Characteristics ◽  
Cosmetic Procedure

ABSTRACT Background: A systematic review of the literature was performed to clarify the psychosocial characteristics of patients who have an interest in cosmetic plastic surgery. Methods: Medical literature was reviewed by two independent researchers, and a third reviewer evaluated their results. Results: Twelve studies addressing the predictors of interest in cosmetic surgery were finally identified and analysed. Interest in cosmetic surgery was associated with epidemiological factors, their social networks, their psychological characteristics, such as body image, self-esteem and other personality traits and for specific psychopathology and found that these may either positively or negatively predict their motivation to seek and undergo a cosmetic procedure. Conclusions: The review examined the psychosocial characteristics associated with an interest in cosmetic surgery. Understanding cosmetic patients’ characteristics, motivation and expectation for surgery is an important aspect of their clinical care to identify those patients more likely to benefit most from the procedure.

Quality of Life—Changes after Rhinoplasty

2017 ◽  
Vol 33 (05) ◽  
pp. 530-536 ◽  
Author(s):  
Richard Niehaus ◽  
Lazlo Kovacs ◽  
Hans-Günther Machens ◽  
Peter Herschbach ◽  
Nikolaos Papadopulos
Keyword(s):  
Quality Of Life ◽  
Cosmetic Surgery ◽  
Aesthetic Surgery ◽  
Well Being ◽  
Average Score ◽  
Psychological Benefits ◽  
Self Assessment ◽  
Self Confidence ◽  
Glasgow Benefit Inventory

AbstractOur study group has researched for >10 years in the field of Quality of Life after plastic, aesthetic, and reconstructive surgery, asking the following questions: “Does aesthetic surgery improve the Quality of Life?” and “Can a higher Quality of Life offset the risk of surgical procedures.” As part of our series of studies examining the correlation of cosmetic surgery and the postoperative well-being, this study examines the influence of rhinoplasty, as a single indication, specifically on the Quality of Life (QoL) of patients. The data of 90 patients who underwent rhinoplasty between 1997 and 2007 were prospectively collected and were retrospectively analyzed. For a competitive analysis, our evaluation was divided into the following five parts: a self-developed indication-specific questionnaire and the standardized instruments Glasgow Benefit Inventory (GBI), Questions on Life SatisfactionModules (FLZM), Freiburg Personality Inventory (FPI-R), and Rosenberg Self-Esteem Questionnaire (RSES). Numerous improvements in patients' QoL were observed. The result of the GBI (17.19) based on a scale –100 to 100 indicates an improved QoL after rhinoplasty. Significant improvements in the item relationship/sexuality were shown in the general part of the FLZM (p = 0.042). The average score (6.32) on a scale of 0 to 14 in the FPI-R questionnaire resulted in a common emotionality and self-assessment, while the RSES (33.64) on a scale 10 to 40 indicated a high self-confidence and a statistically significant improvement (p = 0.0001) compared with German norm data. The knowledge of positive social and psychological benefits and an improved sexuality in the partnership support the meaningfulness of rhinoplasty.

Painful Complications After Cosmetic Surgery: Management of Peripheral Nerve Injury

2018 ◽  
Vol 39 (12) ◽  
pp. 1427-1435 ◽  
Author(s):  
Karan Chopra ◽  
Georgios Kokosis ◽  
Benjamin Slavin ◽  
Eric Williams ◽  
A Lee Dellon
Keyword(s):  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Management Strategies ◽  
Treatment Algorithm ◽  
Aesthetic Surgery ◽  
Persistent Pain ◽  
Cutaneous Nerve ◽  
Level Of Evidence ◽  
Pubmed Database ◽  
Intercostobrachial Nerve

Abstract Background Aesthetic procedures are among the most common surgeries performed by plastic surgeons. The prevalence of persistent pain remains unknown and underappreciated in the plastic surgery literature. Objectives The purpose of this article was to increase awareness of this problem while describing the diagnostic and management strategies for patients with postoperative pain after aesthetic plastic surgery. Methods A literature review was performed utilizing the PubMed database to identify painful complications of brachioplasty, blepharoplasty, rhytidectomy, abdominoplasty, breast augmentation, mastopexy, and breast reduction. A treatment algorithm was described to guide plastic surgeons presented with patients reporting pain after aesthetic surgery. Results Title and abstract review followed by application of inclusion and exclusion criteria resulted in 20 clinical studies for this review, including lateral femoral cutaneous nerve, iliohypogastric nerve, and intercostal nerves after abdominoplasty; median antebrachial cutaneous nerve after brachioplasty; supraorbital, supratrochlear, and infratrochlear nerves after blepharoplasty; greater auricular nerve, auriculotemporal nerve, and zygomaticofacial nerve after rhytidectomy; and intercostobrachial nerve after breast surgery. Conclusions Neuromas can be the source of pain following aesthetic surgery. The same clinical and diagnostic approach used for upper and lower extremity neuroma pain can be employed in patients with persistent pain after aesthetic surgery. Level of Evidence: 4

scholarly journals 1278 The Impact of Private Sector Cosmetic Surgery Complications on an NHS Plastic Surgery Service During the COVID-19 Second Wave: A Case Series

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
C Magness ◽  
M Forsyth ◽  
S Hasham ◽  
C O'Boyle
Keyword(s):  
Private Sector ◽  
Plastic Surgery ◽  
Cosmetic Surgery ◽  
Case Series ◽  
Wound Dehiscence ◽  
Aesthetic Surgery ◽  
Retrospective Audit ◽  
Number Of Patients ◽  
The Impact ◽  
Second Wave

Abstract Introduction COVID-19 has demanded a dramatic reorganisation of plastic surgery services. Operating within the NHS has largely been scaled back to emergency and cancer work, with elective services either on hold or transferred to independent hospitals. During this time, with NHS resources critically stretched, a number of patients presented with serious complications of private sector aesthetic surgery, which required emergency NHS treatment. This series characterises the nature and outcome of these cases. Method A retrospective audit of patients referred to a UK Plastic Surgery Unit with complications arising from private aesthetic surgery performed during the Second Wave of Covid-19 in 2020. Results Eight patients presented. Two had surgery in the UK, five in Turkey and one in Lithuania. The primary procedures were abdominoplasty (n = 6), liposuction (n = 5). Presenting complications were Infection (n = 5) and wound dehiscence (n = 5). Two patients presented in septic shock and one developed necrotising panniculitis. One patient suffered perioperative death due to myocardial infarction. Mean hospital stay was 10 days (range 1-31) and median number of NHS surgical procedures was 2.5 (range 0-8). Three patients required removal of breast implants; four required topical negative pressure dressings and three underwent skin grafting. Up to 7 outpatient appointments were required per patient. All survivors have unsatisfactory aesthetic outcomes. Conclusions This case series raises important questions about the safety of major aesthetic surgery and “cosmetic tourism” during periods when the NHS’ ability to deal with severe complications may be severely limited.

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