Department of Dermatology, Harvard Medical School, Boston, Massachusetts; VA Boston Healthcare System, Boston, Massachusetts; Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts.
Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
J Am Acad Dermatol. 2019 Jun;80(6):1671-1681. doi: 10.1016/j.jaad.2019.01.059. Epub 2019 Jan 31.
Although treatments to address cosmetic concerns are common, patients' self-reported motives for considering such procedures have not been systematically explored.
To develop a framework of categories to describe patients' self-reported motivations for undergoing minimally invasive cosmetic procedures.
Face-to-face, semistructured patient interviews were conducted with adult participants who had undergone or were considering minimally invasive cosmetic dermatologic procedures. A qualitative constant comparative approach was used to analyze interview transcripts, yielding themes and subthemes.
A total of 30 interviews were completed. Most patient-reported motivations for cosmetic procedures could be subsumed under 8 general categories (themes): (1) mental and emotional health, (2) cosmetic appearance, (3) physical health, (4) work and/or school success, (5) social well-being, (6) cost and/or convenience, (7) procedural perceptions, and (8) timing of treatment. Many individual motivations in these categories were unrelated to desire for physical beauty. In particular, participants wanted to avoid being self-conscious, enhance confidence, reduce the time and expense required to conceal physical imperfections, and be perceived as capable at work.
Only English-speaking patients in the United States were interviewed.
Patient-reported motivations for cosmetic procedures mostly pertained to physical and psychosocial well-being. Indeed, a desire for improved cosmetic appearance was only 1 of the 8 themes revealed through the patient interviews.
虽然针对美容问题的治疗方法很常见，但患者考虑此类手术的自我报告动机尚未得到系统探索。
制定一个类别框架，以描述患者接受微创美容程序的自我报告动机。
对接受或考虑微创美容皮肤科程序的成年参与者进行面对面的半结构化患者访谈。使用定性的恒定比较方法分析访谈记录，得出主题和子主题。
共完成 30 次访谈。大多数患者报告的美容手术动机可以归入 8 个一般类别（主题）：（1）心理健康和情绪健康，（2）美容外观，（3）身体健康，（4）工作和/或学业成功，（5）社会福祉，（6）成本和/或便利性，（7）程序认知，以及（8）治疗时间。这些类别中的许多个人动机与对身体美的渴望无关。特别是，参与者希望避免自我意识，增强自信，减少隐藏身体缺陷所需的时间和费用，并在工作中被视为有能力。
仅采访了在美国讲英语的患者。
患者报告的美容程序动机主要与身心健康有关。事实上，通过患者访谈揭示的 8 个主题中，只有一个是对改善美容外观的渴望。
