The Relationship Between Perfectionism, Early Maladaptive Schemas, Attachment Styles, and Body Image Concern by the Mediating Role of Self-esteem in Cosmetic Surgery Applicants

Background: Psychological characteristics could significantly impact applications for cosmetic surgery as well as precognition and satisfaction with surgery. The present study aimed to investigate the relationship between perfectionism, early maladaptive schemas, attachment styles, and body image concern by the mediating role of self-esteem in cosmetic surgery applicants. Methods: This was a predictive correlational study. The statistical population of the study included all female applicants for cosmetic surgery referring to cosmetic surgery centers in Tehran City, Iran, in 2020. A sample size of 400 women was selected based on Klein’s model (2016). The required data were collected by Rosenberg Self-Esteem Scale (RSES) (1989), Multidimensional Perfectionism Scale (MPS), Young Schema Questionnaire (YSQ-S3), Adult Attachment Scale (AAS), and Body Image Concern Inventory (BICI), and analyzed using Pearson correlation coefficient and structural equations in SPSS and AMOS. Results: The obtained results signified a significant relationship between perfectionism, early maladaptive schemas, attachment styles, self-esteem, and body image concerns (P<0.01). Furthermore, the modified model presented a good fit (The Root Mean Square Error of Approximation (RMSEA) =0.061, GFI=0.989, IFI=0.987, P<0.05); the indirect paths of perfectionism, early maladaptive schema, and attachment styles through self-esteem were also significant. Conclusion: The evaluated model indicated a good fit; thus, it can play an essential role in recognizing the factors affecting the body image concerns of female cosmetic surgery applicants.

Incidence and Preoperative Risk Factors for Major Complications After Capsulectomy: Analysis of 3,048 Patients

Background While there are many indications for periprosthetic breast capsulectomy, heightened public attention surrounding breast implant illness has resulted in increased rates of capsulectomy. Objectives This study aims to identify the incidence of major complications and risk factors associated with capsulectomy. Methods Using a prospectively enrolled cosmetic surgery insurance database, CosmetAssure (Birmingham, AL, USA), patients undergoing capsulectomy between January 2, 2017 and July 31, 2019 were identified. Outcomes measured included the occurrence of and risk factors for major complication(s) necessitating an emergency department visit, hospitalization, or reoperation within 45 postoperative days. Results Among 76,128 patients evaluated, 3048 (4.0%) underwent capsulectomy. There was a significant increase in number of capsulectomies following January 6, 2019 (2.7/day vs 5.2/day, p&lt;0.05). Capsulectomy patients had more likely to have any complication and specifically hematoma than those undergoing breast implant removal or replacement without capsulectomy (2.8% vs 1.9% and 1.6% vs 0.9%, respectively, p&lt;0.05). Eighty-four (2.8%) developed at least one complication. The most common complications included hematoma (1.6%) followed by infection (0.5%). ASA class III/IV was an independent risk factor for any complication and BMI ≥30 and office-based surgical suites were risk factors for infection. Conclusions There is a growing number of capsulectomies being performed. The most common major complication is hematoma. Patients undergoing capsulectomy confer a higher complication rate compared to those undergoing breast implant removal or replacement without capsulectomy. Patients should be counseled regarding the potential for major complications.

Prevalence and associated factors of minimally invasive facial cosmetic surgery in Chinese college students

Background Minimally invasive facial cosmetic surgery (MIFCS) is becoming more and more popular and acceptable in Chinese young people, and it influences people in many aspects. However, there is little research on the associations between MIFCS and psychopathology in Chinese college students. The purpose of this study was to identify the prevalence of MIFCS and its associated factors among Chinese college students. Methods A cross-sectional design was applied in this study. A total of 8089 students completed an online questionnaire on demographic data, depressive symptoms (Self-Rating Depression Scale), anxiety symptoms (Self-Rating Anxiety Scale) and MIFCS. Logistic regression was used to identify independent factors associated with MIFCS. Results The prevalence of MIFCS in Chinese college students was 2.7% (221/8098). Students with MIFCS were more likely to be from urban areas, from a single child household, experience depression or anxiety and have a history of smoking (all p < 0.05). They were also less likely to be right-handed or have a good relationship with father or mother (all p < 0.05). Binary logistic regression showed that older age (OR,1.162; 95%CI [1.061,1.273]), female sex (OR,1.837; 95%CI [1.352, 2.497]), community (urban) (OR,0.601; 95%CI [0.441,0.818]), right-handedness (OR,0.668; 95%CI [0.454,0.985]), depressive symptoms (OR, 4.708; 95%CI [1.690,13.112]), family income (30,000–70,000 yuan per year) (OR,0.572; 95%CI [0.403,0.812]) and smoking (OR,1.571; 95%CI [1.09,2.423]) were independently associated with MIFCS. Conclusions Minimally invasive facial cosmetic surgery (MIFCS) is very common in Chinese college students, indicating the importance of paying attention to MIFCS. This study provides valuable evidence for college counselors and doctors in the cosmetic department to provide better and healthier services to students who undergo MIFCS, especially those with depressive symptoms.

Research progress on preparation, mechanism, and clinical application of nanofat

Autologous adipose tissue is an ideal soft tissue filling material in theory, which has the advantages of easy access, comprehensive source, and high biocompatibility and is now widely used in clinical practice. Based on the above benefits of autologous fat, autologous fat grafting is an essential technique in plastic surgery. Conventional macrofat is used to improve structural changes after soft tissue damage or loss caused by various causes such as disease, trauma, or aging. Due to the large diameter of particles and to avoid serious complications such as fat embolism, blunt needles with larger diameters (2mm) are required, making the macrofat grafting difficult to the deep dermis and sub-dermis. Nanofat grafting is a relatively new technology that has gained popularity in cosmetic surgery in recent years. Nanofat is produced by mechanical shuffling and filtration of microfat, which is harvested by liposuction. The harvesting and processing of nanofat are cost-effective as it does not require additional equipment or culture time. Unlike microfat, nanofat particles are too small to provide a notable volumizing effect. Studies have shown that nanofat contains abundant stromal vascular fraction (SVF) cells and adipose-derived stem cells (ADSCs), which help reconstruct dermal support structures, such as collagen, and regenerate healthier, younger-looking skin. Moreover, the fluid consistency of nanofat allows application in tissue regeneration, such as scars, chronic wounds, and facial rejuvenation. This article reviews the current research progress on the preparation, mechanism, and clinical application of nanofat.

Has the COVID-19 Pandemic Impacted Interest in Cosmetic Facial Plastic Surgery?: A Google Trends Analysis

Facial cosmetic surgery trends are evolving in the current climate of the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to evaluate public interest in elective facial plastic surgery during the COVID-19 pandemic including the period of the COVID-19 vaccine distribution using Google Trends. A Google Trends analysis was completed using popular terms related to facial cosmetic surgery and procedures from March 2017 to August 2021. Three stages were identified (baseline, pre-COVID-19 vaccine distribution, and post-COVID-19 vaccine distribution). Descriptive statistics were calculated and two-tailed t-tests were performed between the pre-vaccine and the post-vaccine phases. Linear regression analysis was also performed to determine percent deflection of search terms. There was significantly greater interest in facial aesthetic procedure search terms, except for tear trough filler, during the post-COVID-19 vaccine phase compared with the pre-COVID-19 vaccine phase. There was greater interest in lower facial procedure interest during this phase compared with upper facial procedures (p-value = 0.0011). The search terms with the greatest deflection percentage during the post-vaccine phase were lip filler, brow lift, and lip flip. There continues to be high demands of facial plastic surgery and procedures despite COVID-19 pandemic.

Medical Tourism Patient Mortality

Medical tourism is a process in which a consumer travels from one's place of residence and receives medical treatment, thus becoming a patient. Patients Beyond Borders (PBB) forecasts some 1.9 million Americans will travel outside the United States for medical care in 2019. This chapter explores media representations of patient mortality associated with medical tourism within the global news media occurring between 2009-2019. A qualitative content analysis of 50 patient mortality cases found that (1) a majority of media representations of medical tourism patient death are of middle-class, minority females between 25-55 years of age who seek cosmetic surgery internationally; (2) sudden death, grief, and bereavement counseling is noticeably absent from medical tourism providers (MTPs); and (3) risk information from authority figures within the media reports is often vague and abstract. A detailed list of health communication recommendations and considerations for future medical tourists and their social support systems are provided.

Self-worth Pada Individu Dengan Body Dysmorphic Disorder yang Menjalani Bedah Kosmetik

<p>Body dysmorphic disorder (BDD) is a psychiatry disorder related to body image. Individuals with BDD are found to have low self-worth, this is the cause of individuals with BDD to have cosmetic surgery. The purpose of this article is to determine the relationship of self-worth in individuals with BDD in performing cosmetic surgery. In this systematic review, there were 20 articles that met the criteria, there were 12 articles with the variable self-worth with BDD, 4 articles with the variable self-worth, BDD, and cosmetic surgery, and 4 articles with the variable BDD and cosmetic surgery. Based on the results of a systematic review, it was found that individuals with BDD have low self-worth, this low self-worth makes individuals with BDD perform cosmetic surgery.</p>

#PlasticsTwitter: The Use of Twitter Data s a Tool for Evaluating Public Interest in Cosmetic Surgery Procedures

Background Plastic surgeons are increasingly turning to social media to market their services. The newly released Twitter Academic Research Product Track (TARPT) database provides free, customizable analysis of keywords that are included in tweets on the Twitter platform. The TARPT tool may provide valuable insight into public interest in cosmetic surgery procedures. Objectives To determine TARPT’s utility in tracking and predicting public interest in cosmetic surgery procedures and to examine temporal trends in tweets related to cosmetic facial and body procedures. Methods The TARPT tool was used to calculate total number of tweets containing keywords related to 10 facial cosmetic procedures and 7 cosmetic body procedures from 2010 to 2020. Annual volumes for respective procedures were obtained from annual statistics reports of the American Society of Plastic Surgeons (ASPS) from 2010 to 2020. Univariate linear regression was used to compare tweet volumes and procedure volumes, taking P &lt; 0.05 as the cutoff for significance. Results Variations in tweet volume were observed. Univariate linear regression analysis demonstrated statistically significant positive correlations between tweet volumes and ASPS procedure volumes for 7 search terms: “eyelid lift”, “facelift”, “lip injections”, “mastopexy”, “butt lift”, “butt implants”, and “liposuction”. Many procedure-related keywords were not significant, demonstrating the importance of careful selection of Twitter search terms. Conclusions The TARPT database represents a promising novel source of information for plastic surgeons, which the potential to inform marketing and advertising decisions for emerging trends in plastic surgery interest before these patterns become apparent in surgical or clinical volumes.