Horch R E
Abteilung für Plastische und Handchirurgie, Universitätsklinikum Erlangen.
MMW Fortschr Med. 2004 Oct 14;146(42):32-6.
On the basis of comprehensive information on the realistic possibilities and outcomes of esthetic corrective surgery, such operations can contribute to an effective and lasting improvement in the patient's quality of life and self-esteem. However, the esthetic surgeon's scalpel must never be considered an alternative to necessary psychotherapy. Exaggerated expectations, obsessions, and an absent sense of reality coupled with the projection of psychological and social problems on a certain part of the body must be interpreted as dysmorphophobia with a disordered personality structure. For a reputable plastic surgeon they must be considered a contraindication to esthetic surgery. Against a background of constantly changing social conditions and attitudes, too, surgical body sculpting should no longer be uncritically accepted as a legitimate field for esthetic surgery. Currently, the question as to where the lines are to be drawn for the performance of body-modeling surgical interventions remains unanswered.
基于有关美容矫正手术现实可能性和结果的全面信息，此类手术有助于有效且持久地改善患者的生活质量和自尊心。然而，绝不能将美容外科医生的手术刀视为必要心理治疗的替代品。过高的期望、执念、缺乏现实感以及将心理和社会问题投射到身体的某个部位，必须被解读为具有人格结构紊乱的畸形恐惧症。对于一位声誉良好的整形外科医生而言，这些情况必须被视为美容手术的禁忌证。同样，在社会状况和态度不断变化的背景下，身体塑形手术不应再被不加批判地视为美容手术的一个合理领域。目前，对于进行身体塑形手术干预的界限究竟应划在哪里这一问题，尚无答案。
