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Aesthetic/Cosmetic Surgery and Psychiatry

  • Ulas M. CamsariEmail author
  • Sheila G. Jowsey-Gregoire
Chapter

Abstract

In this chapter, we discuss psychiatric considerations relevant to the cosmetic surgery patient. Cosmetic (aesthetic) surgery is the discipline of medicine focused on enhancing appearance through medical and surgical techniques. It is practiced by doctors from a variety of medical fields, including plastic surgery, and aims to correct undesirable features of the body by reconstruction. All cosmetic procedures are elective because all the visible organs are functionally intact; therefore, selection process relies on subjective complaints, and patient satisfaction is the main outcome measure. Body dysmorphic disorder has a 7–8% prevalence among US cosmetic surgery patients, making it the most common psychiatric disorder among cosmetic surgery patients, yet it remains under-recognized. Importantly, though, it is closely associated with poor outcomes. Higher prevalence of substance use, particularly tobacco and alcohol use, has been identified in cosmetic surgery candidates. Suicidality in particular is associated with the diagnosis of body dysmorphic disorder and among breast augmentation patients. Finally, we review the challenges of psychosocial screening unique to this surgical population.

Keywords

Cosmetic surgery Body dysmorphic disorder Suicidality Body image 

References

  1. 1.
    American Society of Aesthetic and Plastic Surgery. Consumers – Cosmetic Plastic Surgery Procedure Information [Internet]. Official Web Site. 2017. [cited 2017 Aug 23]. Available from: https://www.surgery.org/consumers/procedures.
  2. 2.
    Ericksen WL, Billick SB. Psychiatric issues in cosmetic plastic surgery. Psychiatry Q. 2012;83(3):343–52.CrossRefGoogle Scholar
  3. 3.
    Hayashi K, Miyachi H, Nakakita N, Akimoto M, Aoyagi K, Miyaoka H, et al. Importance of a psychiatric approach in cosmetic surgery. Aesthetic Surg J. 2007;27:396–401.CrossRefGoogle Scholar
  4. 4.
    Updegraff HL, Menninger KA. Some psychoanalytic aspects of plastic surgery. Am J Surg. 1934;25(3):554–8.CrossRefGoogle Scholar
  5. 5.
    Macgregor FC, Schaffner B. Screening patients for nasal plastic operations; some sociologic and psychiatric considerations. Psychosom Med. 1950;12(5):277–91.PubMedCrossRefGoogle Scholar
  6. 6.
    Hill G, Silver AG. Psychodynamic and esthetic motivations for plastic surgery. Psychosom Med. 1950;12(6):345–55.PubMedCrossRefGoogle Scholar
  7. 7.
    Linn L, Goldman IB. Psychiatric observations concerning rhinoplasty. Psychosom Med. 1949;11(5):307–14.PubMedCrossRefGoogle Scholar
  8. 8.
    Schilder P. The image and appearance of the human body by Paul Schilder: Science Editions Paperback - Books From California 1935.Google Scholar
  9. 9.
    Meerloo JA. The fate of one’s face; with some remarks on the implications of plastic surgery. Psychiatry Q. 1956;30(1):31–43.CrossRefGoogle Scholar
  10. 10.
    Clarkson P, Stafford-Clark D. Role of the plastic surgeon and psychiatrist in the surgery of appearance. Br Med J. 1960;2(5215):1768–71.PubMedPubMedCentralCrossRefGoogle Scholar
  11. 11.
    Menninger KA. Polysurgery and polysurgical addiction. J Nerv Mental Dis. 1935;81(1):93.CrossRefGoogle Scholar
  12. 12.
    Knorr NJ, Edgerton MT, Hoopes JE. The insatiable cosmetic surgery patient. Plast Reconstr Surg. 1967;40(3):285–9.PubMedCrossRefGoogle Scholar
  13. 13.
    Locatelli K, Boccara D, De Runz A, Fournier M, Chaouat M, Villa F, et al. A qualitative study of life events and psychological needs underlying the decision to have cosmetic surgery. Int J Psychiatry Med. 2017;52(1):88–105.PubMedCrossRefGoogle Scholar
  14. 14.
    Wormald JCR, Rodrigues JN. Outcome measurement in plastic surgery. J Plast Reconstr Aesthet Surg. 2018;71(3):283–9.PubMedCrossRefGoogle Scholar
  15. 15.
    Health USDo, Human Services FDACfDE, Research, Health USDo, Human Services FDACfBE, Research, et al. Guidance for industry: patient-reported outcome measures: use in medical product development to support labeling claims: draft guidance. Health Qual Life Outcomes. 2006;4:79.CrossRefGoogle Scholar
  16. 16.
    von Soest T, Kvalem IL, Skolleborg KC, Roald HE. Psychosocial changes after cosmetic surgery. Plast Reconstr Surg. 2011;128(3):765–72.CrossRefGoogle Scholar
  17. 17.
    Sarwer DB, Pertschuk MJ, Wadden TA, Whitaker LA. Psychological investigations in cosmetic surgery: a look back and a look ahead. Plast Reconstr Surg. 1998;101(4):1136–42.PubMedCrossRefGoogle Scholar
  18. 18.
    Mohl PC. Psychiatric consultation in plastic surgery: the psychiatrist’s perspective. Psychosomatics. 1984;25(6):471–6.PubMedCrossRefGoogle Scholar
  19. 19.
    Greer DM. Psychiatric consultation in plastic surgery: the surgeon’s perspective. Psychosomatics. 1984;25(6):470–4.PubMedCrossRefGoogle Scholar
  20. 20.
    Azevedo de Brito MJ, Nahas FX, Ferreira LM. Should plastic surgeons operate on patients diagnosed with body dysmorphic disorder? Plast Reconstruct Surg. 2012;129(2):406e–7e.CrossRefGoogle Scholar
  21. 21.
    von Soest T, Kvalem IL, Roald HE, Skolleborg KC. The effects of cosmetic surgery on body image, self-esteem, and psychological problems. J Plast Reconstr Aesthet Surg. 2009;62(10):1238–44.CrossRefGoogle Scholar
  22. 22.
    Dakanalis A, Di Mattei VE, Zanetti AM, Clerici M, Madeddu F, Riva G, et al. 2811 – Personality and body image disorders in cosmetic surgery settings: prevalence, comorbidity and evaluation of their impact on post-operative patient's satisfaction. Eur Psychiatr. 2013;28:1.Google Scholar
  23. 23.
    Herruer JM, Prins JB, van Heerbeek N, Verhage-Damen GWJA, Ingels KJAO. Negative predictors for satisfaction in patients seeking facial cosmetic surgery. Plast Reconstr Surg. 2015;135(6):1596–605.PubMedCrossRefGoogle Scholar
  24. 24.
    Naraghi M, Atari M, Asadollahi H. When aesthetics, surgery, and psychology meet: aesthetic nasal proportions in patients having rhinoplasty and normal adults. Surg J. 2016;02(01):e44–e8.CrossRefGoogle Scholar
  25. 25.
    Zojaji R, Arshadi HR, Keshavarz M, Mazloum Farsibaf M, Golzari F, Khorashadizadeh M. Personality characteristics of patients seeking cosmetic rhinoplasty. Aesthet Plast Surg. 2014;38(6):1090–3.CrossRefGoogle Scholar
  26. 26.
    Wildgoose P, Scott A, Pusic AL, Cano S, Klassen AF, Sj C. Psychological screening measures for cosmetic plastic surgery patients: a systematic review. Aesthet Surg J. 2013;33(1):152–9.PubMedCrossRefGoogle Scholar
  27. 27.
    Houschyar KS, Philipps HM, Duscher D, Rein S, Weissenberg K, Nietzschmann I, et al. Die körperdysmorphe Störung in der Plastischen Chirurgie – Eine systematische Übersicht der Screening Methoden. Handchirurgie Mikrochirurgie Plastische Chirurgie. 2017.Google Scholar
  28. 28.
    Veale D, Ellison N, Werner TG, Dodhia R, Serfaty MA, Clarke A. Development of a Cosmetic Procedure Screening Questionnaire (COPS) for body dysmorphic disorder. J Plast Reconstr Aesthet Surg. 2012;65(4):530–2.PubMedCrossRefGoogle Scholar
  29. 29.
    Veale D, Miles S, Read J, Troglia A, Carmona L, Fiorito C, et al. Penile dysmorphic disorder: development of a screening scale. Arch Sex Behav. 2015;44(8):2311–21.PubMedCrossRefGoogle Scholar
  30. 30.
    Veale D, Eshkevari E, Ellison N, Cardozo L, Robinson D, Kavouni A. Validation of genital appearance satisfaction scale and the cosmetic procedure screening scale for women seeking labiaplasty. J Psychosom Obstet Gynecol. 2013;34(1):46–52.CrossRefGoogle Scholar
  31. 31.
    Phillips KA, Hollander E, Rasmussen SA, Aronowitz BR, DeCaria C, Goodman WK. A severity rating scale for body dysmorphic disorder: development, reliability, and validity of a modified version of the Yale-Brown obsessive compulsive scale. Psychopharmacol Bull. 1997;33(1):17–22.PubMedGoogle Scholar
  32. 32.
    de Brito MJA, Nahas FX, Ortega NRS, Cordás TA, Dini GM, Neto MS, et al. Support system for decision making in the identification of risk for body dysmorphic disorder: a fuzzy model. Int J Med Inform. 2013;82(9):844–53.PubMedCrossRefGoogle Scholar
  33. 33.
    Picavet V, Gabriëls L, Jorissen M, Hellings PW. Screening tools for body dysmorphic disorder in a cosmetic surgery setting. Laryngoscope. 2011;121(12):2535–41.PubMedCrossRefGoogle Scholar
  34. 34.
    Lekakis G, Picavet VA, Gabriëls L, Grietens J, Hellings PW. Body dysmorphic disorder in aesthetic rhinoplasty: validating a new screening tool. Laryngoscope. 2016;126(8):1739–45.PubMedCrossRefGoogle Scholar
  35. 35.
    Oosthuizen P, Lambert T, Castle DJ. Dysmorphic concern: prevalence and associations with clinical variables. Aust NZ J Psychiatry. 1998;32(1):129–32.CrossRefGoogle Scholar
  36. 36.
    Joseph J, Randhawa P, Hannan SA, Long J, Goh S, O'Shea N, et al. Body dysmorphic disorder in patients undergoing septorhinoplasty surgery: should we be performing routine screening? Clin Otolaryngol. 2017;42(3):508–13.PubMedCrossRefGoogle Scholar
  37. 37.
    Phillips KA. The broken mirror: understanding and treating body dysmorphic disorder. New York: Oxford University Press; 1996.Google Scholar
  38. 38.
    Dufresne RG, Phillips KA, Vittorio CC, Wilkel CS. A screening questionnaire for body dysmorphic disorder in a cosmetic dermatologic surgery practice. Dermatol Surg. 2001;27(5):457–62.PubMedGoogle Scholar
  39. 39.
    Napoleon A. The presentation of personalities in plastic surgery. Ann Plast Surg. 1993;31(3):193–208.PubMedCrossRefGoogle Scholar
  40. 40.
    Golshani S, Mani A, Toubaei S, Farnia V, Sepehry AA, Alikhani M. Personality and psychological aspects of cosmetic surgery. Aesthet Plast Surg. 2016;40(1):38–47.CrossRefGoogle Scholar
  41. 41.
    Zojaji R, Javanbakht M, Ghanadan A, Hosien H, Sadeghi H. High prevalence of personality abnormalities in patients seeking rhinoplasty. Otolaryngol Head Neck Surg. 2007;137(1):83–7.PubMedCrossRefGoogle Scholar
  42. 42.
    Harth W, Hermes B. Psychosomatic disturbances and cosmetic surgery. JDDG. 2007;5(9):736–43.PubMedCrossRefGoogle Scholar
  43. 43.
    Micheli-Pellegrini V, Manfrida GM. Rhinoplasty and its psychological implications: applied psychology observations in aesthetic surgery. Aesthet Plast Surg. 1979;3(1):299–319.CrossRefGoogle Scholar
  44. 44.
    Ferraro GA, Rossano F, D’Andrea F. Self-perception and self-esteem of patients seeking cosmetic surgery. Aesthet Plast Surg. 2005;29(3):184–9.CrossRefGoogle Scholar
  45. 45.
    Goin MK, Burgoyne RW, Goin JM, Staples FR. A prospective psychological study of 50 female face-lift patients. Plast Reconstr Surg. 1980;65(4):436–42.PubMedCrossRefGoogle Scholar
  46. 46.
    Morioka D, Ohkubo F. Borderline personality disorder and aesthetic plastic surgery. Aesthet Plast Surg. 2014;38(6):1169–76.CrossRefGoogle Scholar
  47. 47.
    Groenman NH, Sauër HC. Personality characteristics of the cosmetic surgical insatiable patient. Psychother Psychosom. 1983;40(1–4):241–5.PubMedCrossRefGoogle Scholar
  48. 48.
    Baker WY, Smith LH. Facial disfigurement and personality. J Am Med Assoc. 1939;112(4):301.CrossRefGoogle Scholar
  49. 49.
    Abram HS. The van Gogh syndrome: an unusual case of polysurgical addiction. Am J Psychiatr. 1966;123(4):478–81.PubMedCrossRefGoogle Scholar
  50. 50.
    Thomson JA, Knorr NJ, Edgerton MT. Cosmetic surgery: the psychiatric perspective. Psychosomatics. 1978;19(1):7–15.PubMedCrossRefGoogle Scholar
  51. 51.
    Honigman RJ, Phillips KA, Castle DJ. A review of psychosocial outcomes for patients seeking cosmetic surgery. Plast Reconstr Surg. 2004;113(4):1229–37.PubMedPubMedCentralCrossRefGoogle Scholar
  52. 52.
    Honigman RJ, Jackson AC, Dowling NA. The PreFACE. Ann Plast Surg. 2011;66(1):16–23.PubMedCrossRefGoogle Scholar
  53. 53.
    Thomas JR, Sclafani AP, Hamilton M, McDonough E. Preoperative identification of psychiatric illness in aesthetic facial surgery patients. Aesthetic Plast Surg. 2001;25(1):64–7.PubMedCrossRefGoogle Scholar
  54. 54.
    Kellett S, Clarke S, McGill P. Outcomes from psychological assessment regarding recommendations for cosmetic surgery. J Plast Reconstr Aesthet Surg. 2008;61(5):512–7.PubMedCrossRefGoogle Scholar
  55. 55.
    Harris DL, Carr AT. The Derriford Appearance Scale (DAS59): a new psychometric scale for the evaluation of patients with disfigurements and aesthetic problems of appearance. Br J Plast Surg. 2001;54(3):216–22.PubMedCrossRefGoogle Scholar
  56. 56.
    Schieber K, Kollei I, de Zwaan M, Martin A. Classification of body dysmorphic disorder — what is the advantage of the new DSM-5 criteria? J Psychosom Res. 2015;78(3):223–7.PubMedCrossRefGoogle Scholar
  57. 57.
    Ribeiro RVE. Prevalence of body dysmorphic disorder in plastic surgery and dermatology patients: a systematic review with meta-analysis. Aesthet Plast Surg. 2017;41(4):964–70.CrossRefGoogle Scholar
  58. 58.
    Crerand CE, Phillips KA, Menard W, Fay C. Nonpsychiatric medical treatment of body dysmorphic disorder. Psychosomatics. 2005;46(6):549–55.PubMedPubMedCentralCrossRefGoogle Scholar
  59. 59.
    Sarwer DB, Crerand CE, Magee L. Body dysmorphic disorder in patients who seek appearance-enhancing medical treatments. Oral Maxillofac Surg Clin North Am. 2010;22(4):445–53.PubMedCrossRefGoogle Scholar
  60. 60.
    Phillips KA, Diaz SF. Gender differences in body dysmorphic disorder. J Nerv Ment Dis. 1997;185(9):570–7.PubMedCrossRefGoogle Scholar
  61. 61.
    Bowyer L, Krebs G, Mataix-Cols D, Veale D, Monzani B. A critical review of cosmetic treatment outcomes in body dysmorphic disorder. Body Image. 2016;19:1–8.PubMedCrossRefGoogle Scholar
  62. 62.
    Veale D. Outcome of cosmetic surgery and ‘DIY’ surgery in patients with body dysmorphic disorder. The Psychiatrist. 2000;24(6):218–20.Google Scholar
  63. 63.
    Picavet VA, Gabriëls L, Grietens J, Jorissen M, Prokopakis EP, Hellings PW. Preoperative symptoms of body dysmorphic disorder determine postoperative satisfaction and quality of life in aesthetic rhinoplasty. Plast Reconstr Surg. 2013;131(4):861–8.PubMedCrossRefGoogle Scholar
  64. 64.
    Veale D, Naismith I, Eshkevari E, Ellison N, Costa A, Robinson D, et al. Psychosexual outcome after labiaplasty: a prospective case-comparison study. Int Urogynecol J. 2014;25(6):831–9.PubMedCrossRefGoogle Scholar
  65. 65.
    Felix GAA, de Brito MJA, Nahas FX, Tavares H, Cordás TA, Dini GM, et al. Patients with mild to moderate body dysmorphic disorder may benefit from rhinoplasty. J Plast Reconstr Aesthet Surg. 2014;67(5):646–54.PubMedCrossRefGoogle Scholar
  66. 66.
    de Brito MJA, Felix GA, Nahas FX, Tavares H, Cordás TA, Dini GM, et al. Body dysmorphic disorder should not be considered an exclusion criterion for cosmetic surgery. J Plast Reconstr Aesthet Surg. 2015;68(2):270–2.PubMedCrossRefGoogle Scholar
  67. 67.
    Veale D, De Haro L, Lambrou C. Cosmetic rhinoplasty in body dysmorphic disorder. Br J Plast Surg. 2003;56(6):546–51.PubMedCrossRefGoogle Scholar
  68. 68.
    Veale D, Gournay K, Dryden W, Boocock A, Shah F, Willson R, et al. Body dysmorphic disorder: a cognitive behavioural model and pilot randomised controlled trial. Behav Res Ther. 1996;34(9):717–29.PubMedCrossRefGoogle Scholar
  69. 69.
    Krebs G, de la Cruz LF, Monzani B, Bowyer L, Anson M, Cadman J, et al. Long-term outcomes of cognitive-behavioral therapy for adolescent body dysmorphic disorder. Behav Ther. 2017;48(4):462–73.PubMedCrossRefGoogle Scholar
  70. 70.
    Wilhelm S, Phillips KA, Didie E, Buhlmann U, Greenberg JL, Fama JM, et al. Modular cognitive-behavioral therapy for body dysmorphic disorder: a randomized controlled trial. Behav Ther. 2014;45(3):314–27.PubMedCrossRefGoogle Scholar
  71. 71.
    Sarwer DB. Awareness and identification of body dysmorphic disorder by aesthetic surgeons: results of a survey of american society for aesthetic plastic surgery members. Aesthet Surg J. 2002;22(6):531–5.PubMedCrossRefGoogle Scholar
  72. 72.
    Sarwer DB, Spitzer JC, Sobanko JF, Beer KR. Identification and management of mental health issues by dermatologic surgeons: a survey of American Society for Dermatologic Surgery members. Dermatol Surg. 2015;41(3):352–7.PubMedCrossRefGoogle Scholar
  73. 73.
    Veale D, Gledhill LJ, Christodoulou P, Hodsoll J. Body dysmorphic disorder in different settings: a systematic review and estimated weighted prevalence. Body Image. 2016;18:168–86.PubMedCrossRefGoogle Scholar
  74. 74.
    Bouman TK, Mulkens S, van der Lei B. Cosmetic professionals’ awareness of body dysmorphic disorder. Plast Reconstr Surg. 2017;139(2):336–42.PubMedCrossRefGoogle Scholar
  75. 75.
    Joseph AW, Ishii L, Joseph SS, Smith JI, Su P, Bater K, et al. Prevalence of body dysmorphic disorder and surgeon diagnostic accuracy in facial plastic and oculoplastic surgery clinics. JAMA Facial Plast Surg. 2017;19(4):269–74.PubMedPubMedCentralCrossRefGoogle Scholar
  76. 76.
    Sweis IE, Spitz J, Barry DR, Cohen M. A review of body dysmorphic disorder in aesthetic surgery patients and the legal implications. Aesthet Plast Surg. 2017;41(4):949–54.CrossRefGoogle Scholar
  77. 77.
    Bjornsson AS, Didie ER, Phillips KA. Body dysmorphic disorder. Dialogues Clin Neurosci. 2010;12(2):221–32.PubMedPubMedCentralGoogle Scholar
  78. 78.
    Ipser JC, Sander C, Stein DJ. Pharmacotherapy and psychotherapy for body dysmorphic disorder. Cochrane Database Syst Rev. 2009;1:CD005332.Google Scholar
  79. 79.
    Obsessive-compulsive disorder: core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder. Leicester: National Institute for Health and Clinical Excellence: Guidance.Google Scholar
  80. 80.
    Phillips KA, Hollander E. Treating body dysmorphic disorder with medication: evidence, misconceptions, and a suggested approach. Body Image. 2008;5(1):13–27.PubMedPubMedCentralCrossRefGoogle Scholar
  81. 81.
    Reddy V, Coffey MJ. Plastic surgery and suicide. Plast Reconstr Surg Glob Open. 2016;4(8):e828.PubMedPubMedCentralCrossRefGoogle Scholar
  82. 82.
    Sarwer DB, Brown GK, Evans DL. Cosmetic breast augmentation and suicide. Am J Psychiatr. 2007;164(7):1006–13.PubMedCrossRefGoogle Scholar
  83. 83.
    Pukkala E, Kulmala I, Hovi S-L, Hemminki E, Keskimäki I, Pakkanen M, et al. Causes of death among Finnish women with cosmetic breast implants, 1971-2001. Ann Plast Surg. 2003;51(4):339–42. discussion 43–4.PubMedCrossRefGoogle Scholar
  84. 84.
    Kjøller K, Hölmich LR, Fryzek JP, Jacobsen PH, Friis S, McLaughlin JK, et al. Characteristics of women with cosmetic breast implants compared with women with other types of cosmetic surgery and population-based controls in Denmark. Ann Plast Surg. 2003;50(1):6–12.PubMedCrossRefGoogle Scholar
  85. 85.
    Cook LS, Daling JR, Voigt LF, de Hart MP, Malone KE, Stanford JL, et al. Characteristics of women with and without breast augmentation. JAMA. 1997;277(20):1612–7.PubMedCrossRefGoogle Scholar
  86. 86.
    Fryzek JP, Weiderpass E, Signorello LB, Hakelius L, Lipworth L, Blot WJ, et al. Characteristics of women with cosmetic breast augmentation surgery compared with breast reduction surgery patients and women in the general population of Sweden. Ann Plast Surg. 2000;45(4):349–56.PubMedCrossRefGoogle Scholar
  87. 87.
    Witte TK, Didie ER, Menard W, Phillips KA. The relationship between body dysmorphic disorder behaviors and the acquired capability for suicide. Suicide Life Threat Behav. 2012;42(3):318–31.PubMedCrossRefGoogle Scholar
  88. 88.
    Angelakis I, Gooding PA, Panagioti M. Suicidality in body dysmorphic disorder (BDD): a systematic review with meta-analysis. Clin Psychol Rev. 2016;49:55–66.PubMedCrossRefGoogle Scholar
  89. 89.
    Shaw AM, Arditte Hall KA, Rosenfield E, Timpano KR. Body dysmorphic disorder symptoms and risk for suicide: the role of depression. Body Image. 2016;19:169–74.PubMedCrossRefGoogle Scholar
  90. 90.
    El-Den S, Chen TF, Yuh-Lin Gan M, Wong ME, O’Reilly CL. The psychometric properties of depression screening tools in primary healthcare settings: a systematic review. J Affect Disord. 2017;225:503–22.PubMedCrossRefGoogle Scholar
  91. 91.
    Coffey C, Johns J, Coffey J, Veliz S, Orozco Z. The daps tool: an actionable screen for psychiatric risk factors for rehospitalization – SHM Abstracts. J Hosp Med [Internet]. 2012. [cited 2017 Sep 10];7. Available from: http://www.shmabstracts.com/abstract/the-daps-tool-an-actionable-screen-for-psychiatric-risk-factors-forrehospitalization/.
  92. 92.
    Vargel S, Uluşahin A. Psychopathology and body image in cosmetic surgery patients. Aesthet Plast Surg. 2001;25(6):474–8.CrossRefGoogle Scholar
  93. 93.
    Association AP. Desk reference to the diagnostic criteria from DSM-5®. Arlington: Americal Psychiatric Association Publishing; 2013.Google Scholar
  94. 94.
    Naraghi M, Atari M. A comparison of depression scores between aesthetic and functional rhinoplasty patients. Asian J Psychiatr. 2015;14:28–30.PubMedCrossRefGoogle Scholar
  95. 95.
    Naraghi M, Atari M. Comparison of patterns of psychopathology in aesthetic rhinoplasty patients versus functional rhinoplasty patients. Otolaryngol Head Neck Surg. 2015;152(2):244–9.PubMedCrossRefGoogle Scholar
  96. 96.
    Pluvy I, Panouillères M, Garrido I, Pauchot J, Saboye J, Chavoin JP, et al. Smoking and plastic surgery, part II. Clinical implications: a systematic review with meta-analysis. Ann Chir Plast Esthét. 2015;60(1):e15–49.PubMedCrossRefGoogle Scholar
  97. 97.
    Coughlin JW, Schreyer CC, Sarwer DB, Heinberg LJ, Redgrave GW, Guarda AS. Cosmetic surgery in inpatients with eating disorders: attitudes and experience. Body Image. 2012;9(1):180–3.PubMedCrossRefGoogle Scholar
  98. 98.
    Pengpid S, Peltzer K, Ahsan GU. Risk of eating disorders among university students in Bangladesh. Int J Adolesc Med Health. 2015;27(1):93–100.  https://doi.org/10.1515/ijamh-2014-0013.CrossRefPubMedGoogle Scholar
  99. 99.
    Saariniemi KMM, Salmi AM, Peltoniemi HH, Charpentier P, Kuokkanen HOM. Does liposuction improve body image and symptoms of eating disorders? Plast Reconstr Surg Glob Open. 2015;3(7):e461.PubMedPubMedCentralCrossRefGoogle Scholar
  100. 100.
    Saariniemi KMM, Salmi AM, Peltoniemi HH, Helle MH, Charpentier P, Kuokkanen HOM. Abdominoplasty improves quality of life, psychological distress, and eating disorder symptoms: a prospective study. Plastic Surg Int. 2014;2014:1–4.CrossRefGoogle Scholar
  101. 101.
    Markey CN, Markey PM. Can women’s body image be "fixed"? Women’s bodies, well-being, and cosmetic surgery. In: McHugh MC, Chrisler JC, editors. The wrong prescription for women: how medicine and media create a “need” for treatments, drugs, and surgery. Santa Barbara: ABC-CLIO; 2015. p. 221–38.Google Scholar
  102. 102.
    Etra JW, Raimondi G, Brandacher G. Mechanisms of rejection in vascular composite allotransplantation. Curr Opin Organ Transplant. 2017;1:28–33.Google Scholar
  103. 103.
    Cetrulo CL, Ng ZY, Winograd JM, Eberlin KR. The advent of vascularized composite allotransplantation. Clin Plast Surg. 2017;44(2):425–9.PubMedCrossRefGoogle Scholar
  104. 104.
    Kumnig M, Jowsey-Gregoire SG. Key psychosocial challenges in vascularized composite allotransplantation. World J Transplant. 2016;6(1):91–102.PubMedPubMedCentralCrossRefGoogle Scholar
  105. 105.
    Jowsey-Gregoire S, Kumnig M. Standardizing psychosocial assessment for vascularized composite allotransplantation. Curr Opin Organ Transplant. 2016;21(5):530–5.PubMedCrossRefGoogle Scholar
  106. 106.
    Phillipou A, Rossell SL, Wilding HE, Castle DJ. Randomised controlled trials of psychological & pharmacological treatments for body dysmorphic disorder: a systematic review. Psychiatry Res. 2016;245:179–85.PubMedCrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Psychiatry and PsychologyMayo ClinicRochesterUSA

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