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Cosmetic Surgery and Beauty Magazine #68

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feature<br />

perception of appearance over time. ‘Our preoccupation<br />

with appearance extends right across our lives, <strong>and</strong><br />

each stage creates different psychological <strong>and</strong> emotional<br />

responses to our bodies,’ the authors state. ‘As people<br />

age, their appearance concerns focus increasingly on<br />

the face. This was demonstrated in a study involving 24<br />

women ranging in age from 29 to 75 years, of whom 12 had<br />

undergone cosmetic surgery <strong>and</strong> 12 had not. It was found<br />

that the younger women were concerned more with the<br />

shape <strong>and</strong> appearance of their bodies, whereas the older<br />

women were preoccupied with their faces.’<br />

To help manage expectations going into surgery, it is<br />

important for the patient to consult with a qualified surgeon<br />

to discuss their individual concerns <strong>and</strong> motivations for<br />

seeking surgery. By communicating which areas of the face<br />

<strong>and</strong> body most concerns then, the patient can help the<br />

surgeon tailor the procedural approach to suit their needs<br />

<strong>and</strong> existing anatomy.<br />

Furthermore, a good skincare regimen <strong>and</strong> sun<br />

protection following the procedure is recommended.<br />

This will help extend the longevity of the results <strong>and</strong> help<br />

slow the process of skin ageing by boosting <strong>and</strong> protecting<br />

skin health.<br />

Prepare for change<br />

psychologically<br />

As well as physically altering the body, surgery that changes<br />

the shape <strong>and</strong> appearance of the face <strong>and</strong> body can induce<br />

various psychological effects. It is well documented that,<br />

as well as possible physical complications, patients can<br />

experience psychological reactions immediately following<br />

cosmetic surgery.<br />

Some patients find themselves searching for their more<br />

familiar selves post surgery. It can take some time to adjust<br />

to a “new” face <strong>and</strong> body, <strong>and</strong> become accustomed to the<br />

changed figure or face reflected in the mirror.<br />

Certainly, post-surgical unease can compound this<br />

disruption in a patient’s body image. Depression from being<br />

inactive or isolated for a number of days post-procedure,<br />

combined with the effort of coping with any pain, bruising<br />

<strong>and</strong> swelling can contribute to a preoccupation with<br />

the result of surgery, regardless of whether the surgical<br />

outcome is successful or not.<br />

The key to preventing this is preparation. Being aware<br />

of a psychological shift, due to the physical change, can<br />

help patients prepare for any sense of loss or surprise they<br />

may feel. Given the impact of psychological complications<br />

post-procedure, it is important for both the patient <strong>and</strong> their<br />

surgeon to thoroughly explore the motivations for change<br />

before the surgery.<br />

As well as<br />

physically altering<br />

the body, surgery<br />

can induce various<br />

psychological<br />

effects. It can take<br />

some time to adjust<br />

to a “new” face<br />

<strong>and</strong> body<br />

Motivations for surgery<br />

Motivations for contemplating cosmetic surgery can be<br />

complicated. However, it is one of the most important<br />

areas to explore before deciding to go ahead with any<br />

cosmetic procedure.<br />

If cosmetic surgery is considered (even subconsciously)<br />

as a potential solution to fixing a failing relationship or<br />

succeeding professionally, the surgical result is likely to<br />

be disappointing or even cause for regret. Talking to an<br />

independent person, such as a GP or counsellor, can help<br />

tease out the real issues surrounding the desire to alter<br />

their appearance. In this, the patient may avoid undergoing<br />

surgery for reasons that may be inappropriate <strong>and</strong> which<br />

may compound their psychological issues further.<br />

‘When an individual makes a personal decision based on<br />

a desire to improve his or her confidence <strong>and</strong> self-esteem<br />

by altering appearance through cosmetic procedures, it<br />

is likely that the person will be happier with the results,’<br />

Honigman <strong>and</strong> Castle state. ‘Those people having surgery<br />

to please others, <strong>and</strong> thereby attempt to change their lives<br />

as well, are more often dissatisfied with the results of the<br />

surgery, especially when the anticipated changes do not<br />

occur as they had wished.”<br />

Body Dysmorphic Disorder<br />

People suffering from body dysmorphic disorder (BDD) are<br />

inherently unhappy with the way they look. Sufferers can be<br />

obsessed with either an aspect of their appearance, or their<br />

40 www.cosbeauty.com.au

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