Plastic Surgery Improves Baseline Anxiety in Males Having Lesions on Face

Abstract

Background: Congenital and acquired lesions both cause marked elevation in anxiety due to decreased self-esteem and confidence. Plastic surgery can address and markedly improve the anxiety level by addressing such lesions. Medical and surgical concerns related to body may elevate baseline anxiety. Although females are more concerned and fretful about such lesions, we observed that males are also prone to similar levels of anxiety. Objective: The objective of the study is to find out effect of plastic surgery on anxiety level of males having facial lesions. Methods: This prospective study was conducted in Plastic Surgery Department of King Edward Medical University, Lahore, Pakistan from Feb 2018 to Jan 2019 and 100 male patients with either congenital or acquired lesions of face were enrolled and operated. Anxiety level was rated by applying Hamilton anxiety scale immediate preoperatively and satisfaction along with quality of scar was noted after 2 months. Results: 53% of enrolled patients were having educational status above secondary school, 63% patients were from urban, 56% patients were below 27 years of age, 44% were above 27 years of age and 33% were married. Trauma was the cause of lesion in 61% while 13% were with Rhomberg disease and 26% with congenital lesions disorder. Majority of patients had lesion involving forehead. On Hamilton anxiety scale, pre-operative anxiety score was high (21.76±5.846) as compared to
 postoperative score (10.04±4.537). Scar scoring with Vancouver Scar Scale was 4.36±1.798 post operatively. Majority of patients showed significant improvement in anxiety scores post operatively. Conclusion: Irrespective of age, socioeconomic status and education level, lesions involving face elevated baseline anxiety
 in males. Plastic surgery addresses these concerns permanently resulting in marked improvement in anxiety level.