Clinical decision guidelines for NHS cosmetic surgery: analysis of current limitations and recommendations for future development

Cook, Sharon Anne; Rosser, Robert J.; Meah, Soraya; James, M.I.; Salmon, Peter

doi:10.1016/s0007-1226(03)00183-8

Cited by 32 publications

(27 citation statements)

References 36 publications

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“…14 As a result, a general lack of well-designed research seems to be present, particularly in the range of possible psychological outcomes following cosmetic surgeries. 15 The psychological aspects of aesthetic rhinoplasty have started to attract clinicians' and researchers' attention in the past few decades. Generally, it has been shown that patients having aesthetic rhinoplasty show stronger symptoms of psychopathology in comparison with patients having functional surgery.…”

mentioning

confidence: 99%

When Aesthetics, Surgery, and Psychology Meet: Aesthetic Nasal Proportions in Patients Having Rhinoplasty and Normal Adults

Naraghi

Atari

Asadollahi

2016

Surg J

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The obsession with facial beauty is not limited to modern culture. Several studies have suggested that facial attractiveness is comparatively independent of culture. AbstractThe aesthetic nasal proportions have played a significant role in rhinoplasty practice. On the other hand, psychological variables also play a crucial role in rhinoplasty. It is of paramount importance for facial plastic surgeons to consider both sides to achieve a more satisfactory outcome. The present study aimed to compare aesthetic nasal proportions between primary rhinoplasty candidates and a demographically matched control group to determine whether patients having rhinoplasty have different aesthetic nasal proportions compared with healthy adults who are not interested in rhinoplasty. Sixty patients having rhinoplasty were selected consecutively from a surgical clinic. A control group (n ¼ 60) with the same demographic characteristics was selected. Photographs were taken using a digital camera on a fixed zoom setting. All images were captured at a distance of 1.5 m. Frontal and right lateral views were used to compare nasolabial angle, nasofrontal angle, nasofacial angle, alar width, intercanthal distance, nasal length, and width-to-length ratio. Independent t tests were used for comparisons. Independent t tests verified that nasofrontal angle, nasal length, and width-to-length ratio were significantly different between the two groups (p < 0.01). Effect sizes ranged between 0.11 and 0.69. Aesthetic proportions were not significantly different in four factors. Nasolabial angle, nasofacial angle, alar width, and intercanthal distance were not different (p > 0.05). Four major aesthetic nasal proportions were statistically similar in a group of patients having rhinoplasty and a control group with no interest in rhinoplasty. Surprisingly, the patients having rhinoplasty showed a mean width-to-length ratio closer to aesthetic ideal. Therefore, applying for rhinoplasty may have strong psychological reasons (e.g., body dysmorphic symptoms) compared with realistic aesthetic appraisals.

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confidence: 99%

When Aesthetics, Surgery, and Psychology Meet: Aesthetic Nasal Proportions in Patients Having Rhinoplasty and Normal Adults

Naraghi

Atari

Asadollahi

2016

Surg J

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“…Current decision guidelines are generally too imprecise to be useful, lack clarity in the gray area of exceptional need, are further weakened by their exclusion of many variables that surgeons regard as important in decision making, and are insufficiently robust in the event of patients' persistence. 1 Therefore, in practice, surgeons have to make decisions unassisted by decision protocols. The present study shows that surgeons' decisions nevertheless are systematically associated with the patient characteristics that they say, on the basis of clinical experience, are important.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Surgeons' Decisions in Elective Cosmetic Surgery Consultations

et al. 2007

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“…A study analysing the NHS guidelines concluded that further development of the guidelines should provide additional detail and support for surgeons on assessing the degree of abnormality of appearance, importance of appearance to the patient's future quality of life, and whether the patient seeks to improve or to restore their appearance. (43) The American College of Obstetricians and Gynaecologists (ACOG) published a committee opinion on 'Vaginal 'rejuvenation' and cosmetic vaginal procedures' in 2007 (44) which, similar to the UK and Australian position statements, provided no specific information on what constitutes medical indications for surgery. The guideline recommends that clinicians who receive requests from patients for these procedures should evaluate the patient for any physical signs or symptoms that may indicate the need for surgical intervention.…”

Section: The Royal College Of Obstetricians and Gynaecologists In Thementioning

confidence: 99%

Vulvoplasty in New South Wales, 2001–2013: a population‐based record linkage study

Ampt¹,

Roach

Roberts³

2016

Medical Journal of Australia

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Clinical decision guidelines for NHS cosmetic surgery: analysis of current limitations and recommendations for future development

Cited by 32 publications

References 36 publications

When Aesthetics, Surgery, and Psychology Meet: Aesthetic Nasal Proportions in Patients Having Rhinoplasty and Normal Adults

When Aesthetics, Surgery, and Psychology Meet: Aesthetic Nasal Proportions in Patients Having Rhinoplasty and Normal Adults

Factors Influencing Surgeons' Decisions in Elective Cosmetic Surgery Consultations

Vulvoplasty in New South Wales, 2001–2013: a population‐based record linkage study

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