Psychiatric Disorders in Facial Plastic Surgery

Wever, Casper Candido Capi; Wever, Ana Maria Elisabeth Anita; Constantian, Mark B.

doi:10.1016/j.fsc.2020.06.003

Cited by 20 publications

(19 citation statements)

References 54 publications

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“…This is especially pertinent as this patient cohort includes those with concomitant psychiatric disorders, such as body dysmorphic disorder and borderline personality disorder. 18,38 • Clinical negligence claims are increasing in rhinology in line with trends in otorhinolaryngology • In this study, over three quarters of clinical negligence claims in rhinology were related to an operation • In these claims, unnecessary operation and unnecessary pain were frequently cited as reasons for litigation • Claims associated with endoscopic sinus surgery were associated with the highest costs • Patient education and shared decision making are key targets for improvement of patient management and selection for surgery and to reduce litigation…”

Section: Facial Plastic Surgery and Septorhinoplastymentioning

confidence: 78%

“…With regards to chronic rhinosinusitis, qualitative studies from the UK have demonstrated that patients are often frustrated with their management and seek a better understanding of both their condition and the available treatment options. 17 In facial plastic surgery, psychiatric conditions such as body dysmorphic disorders drastically affect patient satisfaction with surgical outcomes 18 and increase the risk of clinical negligence claims. 19 Rhinology procedures such as endoscopic sinus surgery and septorhinoplasty involve complex anatomy; therefore, it can be difficult for patients to fully comprehend the possible complications of surgery.…”

Section: Patient Education and Consentmentioning

confidence: 99%

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Lessons from rhinology and facial plastic surgery clinical negligence claims in England 2013–2018

Navaratnam¹,

Pendolino²,

Kaura³

et al. 2021

J. Laryngol. Otol.

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Objective This study reviewed all rhinology clinical negligence claims in the National Health Service in England between 2013 and 2018. Method All clinical negligence claims held by National Health Service Resolution relating to rhinology in England between 1 April 2013 and 1 April 2018 were reviewed. Results There were 171 rhinology related claims with a total estimated potential cost of £13.6 million. There were 119 closed claims (70 per cent) with a total cost of £2.3 million, of which 55 claims resulted in payment of damages. Over three quarters of all rhinology claims were associated with surgery (n = 132). Claims associated with endoscopic sinus surgery had the highest mean cost per claim (£172 978). Unnecessary pain (33.9 per cent) and unnecessary operation (28.1 per cent) were the most commonly cited patient injuries. Conclusion Patient education and consent have been highlighted as key areas for improvement from this review of rhinology related clinical negligence claims. A shift in clinical practice towards shared decision making could reduce litigation in rhinology.

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Section: Facial Plastic Surgery and Septorhinoplastymentioning

confidence: 78%

Section: Patient Education and Consentmentioning

confidence: 99%

Lessons from rhinology and facial plastic surgery clinical negligence claims in England 2013–2018

Navaratnam¹,

Pendolino²,

Kaura³

et al. 2021

J. Laryngol. Otol.

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“…23 If no BDD is suspected, the aesthetic treatment can proceed. In the event of suspected BDD, the aesthetic procedure should not be performed, 13,14,16,19,20,22,45 rather the patient should be referred to mental health services for mental health and social assessment, patient education as well as potential mental health treatment. 13,14,17,21,22,26,27,31,33,34,36,38,39,46,49 Following mental health assessment and potential treatment, a multidisciplinary approach should be adopted between the aesthetic clinician and mental health professional to assess whether or not the benefits of the aesthetic procedure outweigh the risks.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

An Evidence-based Pathway for Body Dysmorphic Disorder in Facial Aesthetics

Mandavia,

D'Souza,

Rupasinghe

et al. 2024

Facial Plast Surg

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Aesthetic procedures should be avoided in patients with Body Dysmorphic Disorder (BDD) since they can negatively impact mental health and lead to further aesthetic dissatisfaction. There are no evidence-based patient pathways for BDD in facial aesthetics which can result in the failure to identify patients with BDD, leading to unsuitable treatments and suboptimal patient care. We aim to construct the first evidence-based patient pathway for BDD in surgical and non-surgical facial aesthetics. A systematic review was performed and articles that discussed screening or patient pathways for BDD in field of facial aesthetics were included. We extracted relevant information from each article on screening tools and pathways for BDD. Data were synthesised by summarising the data under column headings into a structured narrative and into new tables. Based on this synthesis, a practical pathway for BDD was constructed. Forty articles fulfilled the criteria for inclusion. Twenty-eight BDD screening tools were discussed in the included articles, and we provide an overview of these tools. Thirty-one articles discussed patient pathways for BDD, and we synthesised this information into a structured narrative. Combining these findings we present an evidence-based patient pathway for BDD for patients presenting for facial aesthetic treatments. This systematic review has resulted in the first, evidence-based, patient pathway for BDD in surgical and non-surgical facial aesthetics. This practical pathway can be used by aesthetic clinicians to identify patients with potential BDD and provide clear guidance for managing cases where BDD is suspected. It will help reduce the number of facial aesthetic procedures performed on patients with BDD, safeguard patient mental well-being and prevent further aesthetic dissatisfaction.

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“…44 Clinicians should also be alert to the possible presence of some form of body dysmorphic and borderline personality disorders, which have been reported in ≈10%-15% of patients seeking aesthetic procedures. 45…”

Section: • Optimizing Beautymentioning

confidence: 99%

Decades of beauty: Achieving aesthetic goals throughout the lifespan

Cohen,

Goodman,

De Almeida

et al. 2023

J of Cosmetic Dermatology

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BackgroundSeveral elements, including age, influence judgments of beauty and attractiveness. Aging is affected by intrinsic factors (e.g., genetics, race/ethnicity, anatomical variations) and extrinsic factors (e.g., lifestyle, environment).AimsTo provide a general overview of minimally invasive injectable procedures for facial beautification and rejuvenation to meet the aesthetic goals of patients across their lifespan, organized by decade.MethodsThis case study review describes aesthetic considerations of females in their third to sixth decade of life (i.e., 20–60 years of age or beyond). Each case study reports the treatments, specifically botulinum toxin type A and soft tissue fillers, used to address aesthetic concerns.ResultsSigns of aging, as well as aesthetic goals and motivations, vary by age groups, cultures, and races/ethnicities. However, there are overarching themes that are associated with each decade of life, such as changes in overall facial shape and specific facial regions, which can be used as a starting point for aesthetic treatment planning. Appropriate patient selection, thorough aesthetic evaluation, product knowledge, and injection technique, as well as good physician‐patient communication, are essential for optimal treatment outcomes.ConclusionsNonsurgical facial injectable treatments can successfully enhance and rejuvenate facial features across different age ranges. A comprehensive understanding of facial aging and the aesthetic considerations of patients by the decade contributes to optimal treatment planning and maintenance.

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Psychiatric Disorders in Facial Plastic Surgery

Cited by 20 publications

References 54 publications

Lessons from rhinology and facial plastic surgery clinical negligence claims in England 2013–2018

Lessons from rhinology and facial plastic surgery clinical negligence claims in England 2013–2018

An Evidence-based Pathway for Body Dysmorphic Disorder in Facial Aesthetics

Decades of beauty: Achieving aesthetic goals throughout the lifespan

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