Psychology of plastic and reconstructive surgery: A systematic clinical review

Sachin M. Shridharani, Michael Magarakis, Paul N. Manson, Eduardo D. Rodriguez

Research output: Contribution to journalReview article

Abstract

Background: The authors sought to review the various types of patients with psychological abnormalities who may present to the plastic surgeon and the psychological impact of various plastic surgery procedures on these patients. Methods: After systematically searching the Embase and PubMed databases and following further refinement (based on the authors' inclusion and exclusion criteria), the authors identified 65 studies. In addition, the authors felt that important information was contained in four textbooks, two press releases, and one Internet database. The inclusion criteria were studies that investigated the sychological outcomes, background, and personality types of patients seeking specific plastic surgery procedures. In addition, studies that addressed the impact of plastic surgery on patients' psychological status and quality of life were also included. The authors excluded studies with fewer than 30 patients, studies that did not pertain to the particular plastic surgery procedures, and studies that addressed psychological sequelae of revision operations. Results: Narcissistic and histrionic personality disorders and body dysmorphic disorder are the three most common psychiatric conditions encountered in patients seeking cosmetic surgery. Overall, plastic surgery not only restores the appearance and function of the disfigured body unit but also alleviates psychological distress. Conclusion: Identifying the psychologically challenging patient before surgical intervention will allow the patient to obtain the appropriate psychological assistance and may result in a healthier individual with or without associated plastic surgery procedures.

Original languageEnglish (US)
Pages (from-to)2243-2251
Number of pages9
JournalPlastic and reconstructive surgery
Volume126
Issue number6
DOIs
StatePublished - Dec 1 2010

ASJC Scopus subject areas

  • Surgery

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