Rehman Umar, Perwaiz Ibrar, Sohaib Sarwar Mohammad, Brennan Peter A
Core Surgical Trainee, Department of Plastic Surgery, Chelsea and Westminster Hospital, London, United Kingdom.
Foundation Year One Doctor, Department of General Surgery, Calderdale and Huddersfield NHS Foundation Trust, Huddersfield, United Kingdom.
Br J Oral Maxillofac Surg. 2023 Sep;61(7):455-463. doi: 10.1016/j.bjoms.2023.05.003. Epub 2023 May 15.
The popularity of cosmetic surgery is on the increase with the face being one of the most common anatomical areas operated on. Pre-existing mental health conditions can be associated with adverse patient outcomes after cosmetic surgery and can result in deterioration of postoperative mental health and lack of patient satisfaction. Therefore, identifying the presence of psychiatric disorders through preoperative screening should be considered during consultation for facial cosmetic surgery. In this study, we reviewed the types of preoperative mental health screening tools used in cosmetic facial surgery and the prevalence of mental health conditions among patients undergoing cosmetic facial surgery. A literature search was conducted on Pubmed, Prospero, Dynamed, DARE, EMBASE, and COCHRANE databases. A total of 12 articles fulfilled the inclusion criteria. A total of 2194 participants were included in this review. Rhinoplasty (n=1154), blepharoplasty (n=138) and rhytidectomy (n=83) were the most performed facial cosmetic procedures, respectively. A total of 758 (34.1%) had a diagnosis of a potential mental health problem following the preoperative screening. With body dysmorphic disorder (BDD) being the most common (20.0%). The BDD questionnaire was the most used screening tool (n=4). Mental health diagnoses were more common in patients in low-income countries (48.4%) compared to patients from non-low-income countries (25.7%). Given our findings, we propose the routine use of mental health screening tools in all patients undergoing facial cosmetic surgery. This will improve satisfaction rates post-facial cosmetic surgery and may reduce the number of unnecessary procedures.
整容手术越来越受欢迎，面部是最常进行手术的解剖部位之一。术前就存在的心理健康问题可能与整容手术后不良的患者预后相关，并可能导致术后心理健康恶化以及患者满意度低。因此，在进行面部整容手术咨询时，应考虑通过术前筛查来确定是否存在精神障碍。在本研究中，我们回顾了面部整容手术中使用的术前心理健康筛查工具的类型以及接受面部整容手术患者的心理健康状况患病率。在PubMed、Prospero、Dynamed、DARE、EMBASE和Cochrane数据库中进行了文献检索。共有12篇文章符合纳入标准。本综述共纳入2194名参与者。隆鼻术（n = 1154）、眼睑成形术（n = 138）和除皱术（n = 83）分别是最常进行的面部整容手术。术前筛查后，共有758人（34.1%）被诊断出存在潜在的心理健康问题。其中身体变形障碍（BDD）最为常见（20.0%）。BDD问卷是最常用 的筛查工具（n = 4）。与非低收入国家的患者（25.7%）相比，低收入国家的患者心理健康诊断更为常见（48.4%）。基于我们的研究结果，我们建议对所有接受面部整容手术的患者常规使用心理健康筛查工具。这将提高面部整容手术后的满意度，并可能减少不必要手术的数量。
