How to Recognize and Control the Problem Patient

Wright, Mary Ruth

doi:10.1111/j.1524-4725.1984.tb00483.x

Cited by 8 publications

(3 citation statements)

References 16 publications

(31 reference statements)

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“…Indeed, some posit that all cosmetic surgery patients are in effect psychiatric patients. 11 Although there may be aspects of truth in this statement, there are clearly some patients who stand apart from the norm and warrant further discussion. This list includes male patients, those with questionable motives for pursuing surgery, and those with psychiatric conditions (including depression, polysurgical syndrome, psychotic disorders, and personality disorders).…”

Section: Psychological Profiles Of Those Seeking Revision Rhinoplastymentioning

confidence: 95%

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Psychological Considerations in Revision Rhinoplasty

Ambro¹,

Wright²

2008

Facial plast Surg

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Revision rhinoplasty is a unique challenge. In addition to the technical considerations that are inherently more difficult than those of primary cases, the surgeon must also be mindful of the psychological considerations that revision rhinoplasty presents. These patients are by definition unhappy with their prior rhinoplasty experience, and this perception of a suboptimal result is both legitimate and real, even if the surgeon is not in agreement. Tantamount to any intraoperative technique, the preoperative ability of the surgeon to sift through the myriad psychological and psychosocial issues is critical to achieving satisfactory outcomes for both patient and surgeon. Reasons for dissatisfaction with a primary surgery, reasons for seeking revision surgery, and the psychological profiles of revision rhinoplasty patients can differ from those related to other facial cosmetic procedures. This article attempts to provide the reader with a better understanding of the complex interplay of these issues and with this understanding help the reader to distinguish one who is a favorable surgical candidate from one who is best left unrevised.

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Section: Psychological Profiles Of Those Seeking Revision Rhinoplastymentioning

confidence: 95%

“…He is realistic, not idealistic, and is able to separate his wishes and wants from his expectations.'' 11 This patient has an accurate mental image of what he will look like and what his life will be like after surgery.…”

Section: Psychological Profiles Of Those Seeking Revision Rhinoplastymentioning

confidence: 99%

Psychological Considerations in Revision Rhinoplasty

Ambro¹,

Wright²

2008

Facial plast Surg

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“…Proper selection of patients is of the utmost importance 14 . Not only must their scarring be amenable to this technique, but they must meet the criteria for probable success with a dermabrasion.…”

Section: Introductionmentioning

confidence: 99%

Treatment for Pitted Acne Scarring‐Postauricular Punch Grafts followed by Dermabrasion

Solotoff

1986

The Journal of Dermatologic Surgery and Oncology

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The Male Aesthetic Patient

Wright¹

1987

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\Just like their female counterparts, men are increasingly turning to facial plastic surgery, but male patients bring to the surgeon an array of unexplored motivations and expectations along with unresolved emotional conflicts. These feelings of ambivalence, emotional instability, and sometimes even hostility toward the surgeon make the male aesthetic patient more of a psychological risk than the female aesthetic patient. This article focuses on how the surgeon can recognize and control the male patient's emotional disturbances and, consequently, better serve his patient and protect himself.A few decades ago there was a definite stigma against aesthet¬ ic (cosmetic) surgery. This attitude has gradually faded, and today society willingly accepts aesthetic surgery. Furthermore, and probably within the past decade, aesthetic surgery is no longer largely limited to women. Men are also seeking aesthetic surgery and they are up-front about it. This change in attitude adds to the aesthet¬ ic surgeon's problems. He must now realize that he cannot use the same method for psychologically evaluating both male and female patients.On the assumption that previous psychological studies have dealt pri¬ marily with the female aesthetic patient, this article focuses on the male patient and addresses one question in particular: Is the male aesthet¬ ic surgery patient more of a psycho¬ logical risk than the female patient? Keeping this question in mind, I will discuss four major topics: the increase in male aesthetic surgery; the psycho¬ logical differences between male and female aesthetic patients; the dynam¬ ics underlying the emotionally dis¬ turbed male patient; and the treat¬ ment and management of the male aesthetic patient. INCREASE IN MALE AESTHETIC SURGERYGoldwyn,1 in his excellent book The Patient and the Plastic Surgeon (1981), states that 85% of aesthetic surgery patients are female. Prior to Goldwyn, Baker,2 in his study of 1500 face-lift patients (1975), found that only 4% of the patients were male.Two years later he found that the percentage of male patients had dou¬ bled. Finally, in a recent poll (1986) conducted by Cash et al,3 45% of the women interviewed indicated that they would have cosmetic surgery, while 33% of the men stated that they would consider it. Other studies and observations bear out the increase of both the acceptance and the occur¬ rence of male aesthetic surgery.These percentages tell us only one fact: male aesthetic surgery is increasing. We have only speculative theories as to why aesthetic surgery has been largely devoted to women, and as to why male aesthetic surgery is increasing. PSYCHOLOGICAL DIFFERENCES BETWEEN THE SEXESMost authorities agree that the pre¬ ponderance of female aesthetic pa¬ tients stems from cultural, social, and psychological factors. Goldwyn1 states that "our culture places a higher value on the attractive appearance of the woman than that of the man ... that the woman, deprived of many sources . of gratification available to men, has learned to use and value her b...

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How to Recognize and Control the Problem Patient

Cited by 8 publications

References 16 publications

Psychological Considerations in Revision Rhinoplasty

Psychological Considerations in Revision Rhinoplasty

Treatment for Pitted Acne Scarring‐Postauricular Punch Grafts followed by Dermabrasion

The Male Aesthetic Patient

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