| GUEST EDITORIAL
International Journal of Aesthetic and Anti-Ageing Medicine Informa Healthcare, 119 Farringdon Road, London, EC1R 3DA, UK
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psychological stance of a patient, many others do not. As a patient of cosmetic surgery who has undergone five elective procedures, I can safely say I was not properly psychologically assessed for any of my procedures. In three of my five operations, the ÔsubjectÕ was barely touched on, while for the remainder there was no mention at all. I was never asked ÔwhyÕ I wanted to undergo liposuction, rhinoplasty or breast augmentation. I was never asked whether I would like counselling pre- or post-surgery. And I was never prepared for how I would ÔfeelÕ before or after surgery. When I woke from a routine breast augmentation procedure 2 years ago, nothing prepared me for
A
how I felt as I exited the surgical theatre to my post-surgical recovery room. I broke into floods of tears and felt rather Ô fragileÕ ; it wasnÕt the pain of the actual surgery that was troubling me, but an inner turmoil and anxiety that I couldnÕt quite explain. I remember thinking, Ônobody tells you about this bitÕ . It was the same feeling that had hit me in the pre-operative room before surgery, as surgical staff
worked busily around me preparing me for the scalpel. I asked myself at the time, Ô Is this feeling normal?Õ I never had time to ponder the question much as seconds later I was in anaesthetic slumber. As a cosmetic surgery and beauty coach, I see dozens of women (and men) every month who ask for
information, guidance and referral to the safest ways to shop for image enhancement services. My ultimate objective is to arm clients with the essential knowledge and skills to make the right choices ÔthemselvesÕ . However, no matter how well informed you are, no matter how well prepared you are physically,
there is clearly insufficient preparation within the industry when it comes to ÔpsychologicallyÕ preparing a patient for cosmetic surgery. My experiences and those of the thousands of patients that I have dealt with over the years have led me to question this aspect of cosmetic surgery, a subject I feel is too easily over looked or brushed aside. Indeed, a report by the National Confidential Enquiry into Patient Outcome and Death found that many centres offering cosmetic surgery in the UK were failing to assess and care for patients properly, including psychological evaluations. If a surgeon canÕt be ÔbotheredÕ to handle the psychological aspects of surgery as theyÕ re too busy
dealing with the Ôpractical stuffÕ , then may I suggest they refer patients to independent counsellors and experts who now offer pre- and post-cosmetic surgery counselling. The patient journey will be a more positive and safer experience as a result. After all, no matter how skilled a surgeon may be, a scalpel may be able to fix an imperfect body but it doesnÕt quite cut it when it comes to healing the mind.
Antonia Mariconda Health and Beauty Author, and The Cosmedic Coach
www.thecosmediccoach.com
PRIME JOURNAL EDITORIAL BOARD BOARD MEMBER SPECIALISM
Dr Claude Dalle
Dr Wilmar Accursio Dr Pierre Andre Dr Ashraf Badawi
Anti-ageing & aesth. medicine France Endocrinologist Dermatology Dermatology
France Egypt
Dr Janethy Balakrishnan Dermatology Dr Lakhdar Belhaouari Dr Philippe Berros Dr Dario Bertossi
Dr Philippe Blanchemaison Phlebology Dr Pierre Bouhanna Dr Fahd Benslimane Prof Wayne Carey
Dr Claude Chauchard Dr Olivier Claude
Dr Christophe de Jaeger Geriatrics Dr Jacques Dequesne Prof Ilaria Ghersetich Dr Kate Goldie
Dr Monika Golkova Prof Eckart Haneke Dr Steven Hopping Prof Xiaoyan Jiang
Plastic surgery
Oculoplastic surgery Maxillofacial surgery
Dermatology – Hair surgery Plastic Surgeon Dermatology
Anti-ageing medicine Plastic surgery
Gynaecologist Dermatology
Aesthetic Physician Neurologist Dermatology Plastic surgery Genetics
Prof Andreas Katsambas Dermatology Dr Mario Krause
Anti-ageing medicine
Malaysia France
Monaco Italy
France France
Morocco Canada France France France France Italy UK
Czech Republic Germany USA
Canada Greece
Germany
COUNTRY Brazil
BOARD MEMBER SPECIALISM Dr David Lai
Dr Marina Landau
Dr Gustavo Leibaschoff Dr Jean-Luc Levy Dr Sohail Mansoor Prof Leonardo Marini
Cosmetic surgery Dermatology Dermatology Dermatology
Prof Dr Martino Neumann Dermatology & Venereology Prof Daniel Pella Dr Vincenzo Penna
Cardiology
Dr Chariya Petchngaovilai Dermatology Dr Philippe Piccerelle Prof Ascanio Polimeni Dr Herve Raspaldo Dr Neil Sadick
Dr Pakpilai Thavisin Dr Mario Trelles Dr Ines Verner Dr Octavio Viera
Dr Jean-Luc Vigneron Prof Bernard Weber Dr Sabine Zenker
Catherine Decuyper Wendy Lewis
Christophe Luino
Plastic surgery Dermatologist
Neuro-endocrinology Facial plastic surgery Dermatology
Anti-ageing medicine Dermatology
COUNTRY Hong Kong
Israel USA
France UK
Italy
Netherlands Slovakia Germany Thailand France Italy
France USA
Dermatology & Anti-ageing medicine Thailand Plastic surgery Dermatology
Spain Israel
Anti-ageing medicine; pediatry Spain Aesthetic dermatology Genetician
Dermatologist USA France
Luxembourg Germany
Industry expert & consultant France Industry expert
Industry expert & consultant France
prime-journal.com | January/February 2013 ❚ 5
S AESTHETIC SURGERY BECOMES INCREASINGLY POPULAR, CORRECT patient selection becomes even more important. Aesthetic surgery is unique because, unlike any other surgical procedure, it is initiated by the patient. In addition, this surgery elicits a more acute reaction from patients than any other type of surgery. Before agreeing to operate, a surgeon must evaluate the psychological condition of a patient. While some surgeons will have pathways in place to address the
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