Kennedy Aileen
J Law Med. 2015 Sep;23(1):137-55.
The practice of cosmetic surgery is constructed as psychologically beneficial. This therapeutic promise transforms cosmetic surgery into proper medical treatment. However, there is emerging evidence that a significant percentage of cosmetic surgery patients suffer from the condition of Body Dysmorphic Disorder (BDD), which is characterised by excessive preoccupation with imagined or minor defects in appearance. BDD is uniformly identified as a strong contra-indication for cosmetic surgery. Articles in scholarly journals on cosmetic surgery identify the "red flag" indicators to assist in screening out problem patients. However, a close examination of the most common indicators reveals that most are ineffective in identifying BDD in prospective patients. This article also considers the legal liability of cosmetic surgeons who operate on patients with BDD, and concludes that there is little likelihood of liability in trespass or negligence under current Australia law.
整容手术被视为具有心理益处。这种治疗前景将整容手术转变为恰当的医疗手段。然而，越来越多的证据表明，相当一部分整容手术患者患有身体变形障碍（BDD），其特征是过度关注想象中的或微小的外表缺陷。BDD被一致认定为整容手术的强烈禁忌症。学术期刊上关于整容手术的文章指出了“红旗”指标，以帮助筛选出有问题的患者。然而，仔细研究最常见的指标会发现，大多数指标在识别潜在患者的BDD方面并无效果。本文还考虑了为患有BDD的患者实施手术的整容外科医生的法律责任，并得出结论，根据澳大利亚现行法律，在侵权或疏忽方面承担责任的可能性很小。
