Department of Otolaryngology, Head & Neck Surgery, Leiden University Medical Center, Leiden, the Netherlands.
Chagalweg 18, Almere 1328 LE, the Netherlands.
Facial Plast Surg Clin North Am. 2020 Nov;28(4):451-460. doi: 10.1016/j.fsc.2020.06.003. Epub 2020 Sep 9.
Body dysmorphic disorder and borderline personality disorder are common in esthetic practices and occur in up to 15% of patients. Operating on these patients may not only lead to dissatisfaction but may also worsen their premorbid condition and can induce negative behavior toward the practice. Preventing surgery and referring patients for cognitive therapy is essential. An adequate understanding of these conditions and the available screening tools is indispensable for all esthetic practitioners. Unrealistic emotional attribution to a facial shape, multiple procedures, a near-normal nose at the outset, childhood trauma, multiple comorbid mental conditions, and social dysfunction are red-flags to consider.
躯体变形障碍和边缘型人格障碍在美容实践中很常见，发生率高达 15%。对这些患者进行手术不仅可能导致不满意，还可能使他们的前驱状况恶化，并导致对该实践的负面行为。预防手术并将患者转介接受认知疗法至关重要。所有美容从业者都必须充分了解这些情况和现有的筛选工具。对面部形状的不切实际的情感归因、多次手术、一开始接近正常的鼻子、童年创伤、多种共病精神状况和社交功能障碍是需要考虑的危险信号。
