Situm Mirna, Buljan Marija
University Department of Dermatovenereology, Sestre milosrdnice University Hospital, Zagreb, Croatia.
Acta Clin Croat. 2010 Dec;49(4):509-13.
Today's society is characterized by a desire to achieve and maintain youthful appearance, and both men and women are increasingly seeking for cosmetic enhancement. Corrective dermatology is one of the fields dealing with such clients. Corrective dermatology interventions include chemical peels, fillers, botulinum toxin, laser treatments, mesotherapy, etc. Although clients are usually satisfied with the outcome of these minimally invasive cosmetic interventions, there are some people that have unrealistic expectations of the outcome. Moreover, there is a particular subgroup of people that appear to respond poorly to cosmetic procedures and are never satisfied with the outcome. These are usually people with the psychiatric disorder known as 'body dysmorphic disorder'. The major challenge for the physician in corrective dermatology is detection of the clients with unrealistic expectations towards the aesthetic procedure they have decided to undergo. Therefore, medical professionals who practice corrective dermatology should have a serious, non-profitable approach and select their clients carefully. High quality training in aesthetic procedures, knowledge of the possible complications and the ability to address them properly, along with the obligatory informed consent including photodocumentation, should be the framework of good practice. This is also the best way to protect medical professionals from unrealistic expectations of their clients.
当今社会的特点是渴望实现并保持年轻的外表，男性和女性越来越多地寻求美容增强。矫正皮肤科是处理这类客户的领域之一。矫正皮肤科的干预措施包括化学剥脱、填充剂、肉毒杆菌毒素、激光治疗、中胚层疗法等。尽管客户通常对这些微创美容干预的结果感到满意，但有些人对结果抱有不切实际的期望。此外，有一个特定的人群亚组似乎对美容程序反应不佳，并且对结果从不满意。这些人通常患有被称为“躯体变形障碍”的精神疾病。矫正皮肤科医生面临的主要挑战是识别那些对他们决定接受的美容手术抱有不切实际期望的客户。因此，从事矫正皮肤科的医学专业人员应该采取严肃、无盈利目的的方法，并谨慎选择他们的客户。美容手术的高质量培训、对可能并发症的了解以及妥善处理这些并发症的能力，连同包括照片记录在内的强制性知情同意书，应该成为良好实践的框架。这也是保护医学专业人员免受客户不切实际期望影响的最佳方式。
