Sarwer David B, Infield Alison L, Baker James L, Casas Laurie A, Glat Paul M, Gold Alan H, Jewell Mark L, Larossa Don, Nahai Foad, Young V Leroy
Department of Surgery, The Edwin and Fannie Gray Hall Center for Human Appearance, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
Aesthet Surg J. 2008 May-Jun;28(3):245-50. doi: 10.1016/j.asj.2008.02.003.
The number of cosmetic surgical and nonsurgical procedures performed in the United States has increased by 500% over the past 10 years. Most studies of psychosocial functioning following aesthetic procedures have reported high levels of patient satisfaction and improved functioning; however, nearly all these studies focused only on changes during the first posttreatment year.
This paper reports on the 2-year results of a prospective, multi-site investigation of postoperative satisfaction and changes in psychosocial status following cosmetic surgery.
One hundred patients from 8 surgical practices completed psychometric measures of body image, depressive symptoms, and self-esteem before surgery. Patients completed the same measures again at 3, 6, 12, and 24 months postoperatively. In addition, they reported their postoperative satisfaction as well as self-rated attractiveness at the 4 postoperative assessment points.
Patients reported improvements in their overall appearance and body image, the appearance of and their degree of dissatisfaction with the feature altered by surgery, and the frequency of negative body image emotions in specific social situations through 24 months after surgery. These improvements were first evident at 3 months postoperatively and were maintained, without deterioration, through 2 years following surgery.
Patients reported high rates of satisfaction and improvements in body image within the first 3 months of cosmetic surgery. These improvements were well maintained through the first 2 postoperative years.
在过去10年中，美国进行的整容外科手术和非手术程序数量增加了500%。大多数关于美容手术后心理社会功能的研究报告称患者满意度很高且功能有所改善；然而，几乎所有这些研究都只关注治疗后第一年的变化。
本文报告了一项关于整容手术后患者满意度和心理社会状态变化的前瞻性、多地点调查的两年结果。
来自8个外科手术机构的100名患者在手术前完成了身体形象、抑郁症状和自尊的心理测量。患者在术后3、6、12和24个月再次完成相同的测量。此外，他们在术后4个评估点报告了术后满意度以及自我评定的吸引力。
患者报告称，在术后24个月内，他们的整体外貌和身体形象、手术改变部位的外观以及对该部位的不满意程度，以及在特定社交场合中负面身体形象情绪的频率都有所改善。这些改善在术后3个月时首次明显显现，并在术后2年内保持，没有恶化。
患者报告称，在整容手术的前3个月内满意度很高，身体形象也有所改善。这些改善在术后的前两年得到了很好的保持。
