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26 - Cosmetic procedures

from Part III - Working with specific units

Published online by Cambridge University Press:  10 December 2009

By
David Veale
Edited by
Geoffrey Lloyd  and
Elspeth Guthrie
Geoffrey Lloyd
Affiliation:
Priory Hospital, London
Elspeth Guthrie
Affiliation:
University of Manchester
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Summary

Introduction

Whatever the reader thinks of aesthetic cosmetic surgery, it is a popular lifestyle choice and attractiveness is a valued attribute in all societies. More than 50% of women and slightly fewer than 50% of men report dissatisfaction with their appearance (Garner 1997). Not surprisingly, many such individuals turn to cosmetic procedures to enhance their appearance. In the USA, 6.6 million procedures were performed in 2002 (American Society for Aesthetic Plastic Surgery 2003). This represents an increase of 1600% over the past decade. Many new procedures have been introduced which are non-surgical and, in the USA, the top six procedures in order of popularity are botox injections, chemical peel, microdermabrasion, laser hair removal, sclerotherapy and collagen injections. The most popular surgical procedures are rhinoplasty, mammaplasty augmentation or lift, liposuction, blepharoplasty, rhytidectomy (face-lift), and mammaplasty reduction. No such figures are available in the UK but, so far as one can tell, the profile is similar to the USA. It is estimated by market analysts that approximately £200 million per annum is spent on cosmetic procedures in the UK in the private sector and that 25% of all bank loans are given for cosmetic surgery.

The availability of cosmetic surgery in the National Health Service (NHS) is patchy. It is viewed by purchasers as a low priority, and there is a clear stigma against psychological distress and handicap caused by minor disfigurement or anomalies.

Keywords

amputee identity disorderbody dysmorphic disordercosmetic surgeryeating disorderpsychiatrist
Type
Chapter
Information
Handbook of Liaison Psychiatry , pp. 617 - 631
Publisher: Cambridge University Press
Print publication year: 2007

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