Skip to main content
×
×
Home

Quality of life before and after cosmetic surgery

  • Jean-Charles Bensoussan (a1), Michael A. Bolton (a1) (a2), Sarah Pi (a1) (a3), Allycin L. Powell-Hicks (a1), Anna Postolova (a4), Bahram Razani (a2), Kevin Reyes (a1) and Waguih William IsHak (a1) (a3)...
Abstract

This article reviews the literature regarding the impact of cosmetic surgery on health-related quality of life (QOL). Studies were identified through PubMed/Medline and PsycINFO searches from January 1960 to December 2011. Twenty-eight studies were included in this review, according to specific selection criteria.

The procedures and tools employed in cosmetic surgery research studies were remarkably diverse, thus yielding difficulties with data analysis. However, data indicate that individuals undergoing cosmetic surgery began with lower values on aspects of QOL than control subjects, and experienced significant QOL improvement post-procedurally, an effect that appeared to plateau with time.

Despite the complexity of measuring QOL in cosmetic surgery patients, most studies showed an improvement in QOL after cosmetic surgery procedures. However, this finding was clouded by measurement precision as well as heterogeneity of procedures and study populations. Future research needs to focus on refining measurement techniques, including developing cosmetic surgery–specific QOL measures.

Copyright
Corresponding author
*Address for correspondence: Waguih William IsHak, MD, FAPA, Clinical Professor of Psychiatry at UCLA and Vice Chairman for Education and Research, Cedars-Sinai Department of Psychiatry, 8730 Alden Dr., Thalians E-132, Los Angeles, CA 90048, USA. (Email Waguih.IsHak@cshs.org)
References
Hide All
1. American Society of Plastic Surgeons. Plastic surgery procedural statistics. 2012. http://www.plasticsurgery.org/news-and-resources/2012-plastic-surgery-statistics.html. Accessed August 12, 2013.
2. The American Board of Cosmetic Surgery. Description of cosmetic surgery. 2012. http://www.americanboardcosmeticsurgery.org/How-We-Help/cosmetic-surgery-vs-plastic-surgery.html. Accessed August 12, 2013.
3.Adams, J. Motivational narratives and assessments of the body after cosmetic surgery. Qual Health Res. 2010; 20(6): 755767.
4.World Health Organization. The World Health Organization quality of life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):14031409.
5.The WHOQOL Group. Development of the WHOQOL: rationale and current status. International Journal of Mental Health. 1994; 23(3): 2456.
6.Didie, ER, Kuniega-Pietrzak, T, Phillips, KA. Body image in patients with body dysmorphic disorder: evaluations of and investment in appearance, health/illness, and fitness. Body Image. 2010; 7(1): 6669.
7.Castle, DJ, Honigman, RJ, Phillips, KA. Does cosmetic surgery improve psychosocial wellbeing? Med J Aust. 2002; 176: 601604.
8.Blomqvist, L, Eriksson, A, Brandberg, Y. Reduction mammaplasty provides long-term improvement in health status and quality of life. Plast Reconstr Surg. 2000; 106(5): 991997.
9.Honigman, RJ, Phillips, KA, Castle, DJ. A review of psychosocial outcomes for patients seeking cosmetic surgery. Plast Reconstr Surg. 2004; 113(4): 12291237.
10.Lohr, KN, Carey, TS. Assessing “best evidence”: issues in grading the quality of studies for systematic reviews. Jt Comm J Qual Improv. 1999; 25(9): 470479.
11. Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services. Systems to Rate the Strength of Scientific Evidence, 2002. Available at: http://www.thecre.com/pdf/ahrq-system-strength.pdf
12.Klassen, A, Jenkinson, C, Fitzpatrick, R, Goodacre, T. Patients’ health related quality of life before and after aesthetic surgery. Br J Plast Surg. 1996; 49(7): 433438.
13.Ozgür, F, Tuncali, D, GülerGürsu, K. Life satisfaction, self-esteem, and body image: a psychosocial evaluation of aesthetic and reconstructive surgery candidates. Aesthetic Plast Surg. 1998; 22(6): 412419.
14.Sabino Neto, M, Demattê, MF, Freire, M, etal. Self-esteem and functional capacity outcomes following reduction mammaplasty. Aesthet Surg J. 2008; 28(4): 417420.
15.Sabino Neto, M, da Silva, AL, Garcia, EB, Freire, M, Ferreira, L. Quality of life and self-esteem after breast asymmetry surgery. Aesthet Surg J. 2007; 27(6): 616621.
16.Sarwer, DB, Gibbons, LM, Magee, L, etal. A prospective, multi-site investigation of patient satisfaction and psychosocial status following cosmetic surgery. Aesthet Surg J. 2005; 25(3): 263269.
17.Meyer, L, Ringberg, A. Augmentation mammaplasty: psychiatric and psychosocial characteristics and outcome in a group of Swedish women. Scand J Plast Reconstr Surg Hand Surg. 1987; 21(2): 199208.
18.Shakespeare, V, Postle, K. A qualitative study of patients’ views on the effects of breast-reduction surgery: a 2-year follow-up survey. Br J Plast Surg. 1999; 52(3): 198204.
19.Von Soest, T, Kvalem, IL, Roald, HE, Skolleborg, KC. The effects of cosmetic surgery on body image, self-esteem, and psychological problems. J Plast Reconstr Aesthet Surg. 2009; 62(10): 12381244.
20.Hueston, J, Dennerstein, L, Gotts, G. Psychological aspects of cosmetic surgery. J Psychosom Obstet Gynaecol. 1985; 4(4): 335346.
21.Sarwer, DB, Infield, AL, Baker, JL, etal. Two-year results of a prospective, multi-site investigation of patient satisfaction and psychosocial status following cosmetic surgery. Aesthet Surg J. 2008; 28(3): 245250.
22.Rankin, M, Borah, G, Perry, AW, Wey, PD. Quality-of-life outcomes after cosmetic surgery. Plast Reconstr Surg. 1998; 102(2): 21392147.
23.Glatt, BS, Sarwer, DB, O'Hara, DE, etal. A retrospective study of changes in physical symptoms and body image after reduction mammaplasty. Plast Reconstr Surg. 1999; 103(1): 7682.
24.Rohrich, RJ, Rathakrishnan, R, Robinson, JB Jr, Griffin, JR. Factors predictive of quality of life after silicone-implant explantation. Plast Reconstr Surg. 1999; 104(5): 13341337.
25.Thoma, A, Sprague, S, Veltri, K, Duku, E, Furlong, W. A prospective study of patients undergoing breast reduction surgery: health-related quality of life and clinical outcomes. Plast Reconstr Surg. 2007; 120(1): 1326.
26.Spector, JA, Singh, SP, Karp, NS. Outcomes after breast reduction: does size really matter? Ann Plast Surg. 2008; 60(5): 505509.
27.Eggert, E, Schuss, R, Edsander-Nord, A. Clinical outcome, quality of life, patients’ satisfaction, and aesthetic results, after reduction mammaplasty. Scand J Plast Reconstr Surg Hand Surg. 2009; 43(4): 201206.
28.Van der Beek, ES, Te Riele, W, Specken, TF, Boerma, D, van Ramshorst, B. The impact of reconstructive procedures following bariatric surgery on patient well-being and quality of life. Obes Surg. 2010; 20(1): 3641.
29.Meningaud, JP, Benadiba, L, Servant, JM, etal. Depression, anxiety and quality of life: outcome 9 months after facial cosmetic surgery. J Craniomaxillofac Surg. 2003; 31(1): 4650.
30.Murphy, C, Kearns, G, Sleeman, D, Cronin, M, Allen, PF. The clinical relevance of orthognathic surgery on quality of life. Int J Oral Maxillofac Surg. 2011; 40(9): 926930.
31.Flanary, CM, Barnwell, GM, VanSickels, JE, Littlefield, JH, Rugh, AL. Impact of orthognathic surgery on normal and abnormal personality dimensions: a 2-year follow-up study of 61 patients. Am J Orthod Dentofacial Orthop. 1990; 98(4): 313322.
32.Alves, MC, Abla, LE, Santos Rde, A, Ferreira, LM. Quality of life and self-esteem outcomes following rhytidoplasty. Ann Plast Surg. 2005; 54(5): 511516.
33.Litner, JA, Rotenberg, BW, Dennis, M, Adamson, PA. Impact of cosmetic facial surgery on satisfaction with appearance and quality of life. Arch Facial Plast Surg. 2008; 10(2): 7983.
34.Lazar, CC, Clerc, I, Deneuve, S, Auquit-Auckbur, I, Milliez, PY. Abdominoplasty after major weight loss: improvement of quality of life and psychological status. Obes Surg. 2009; 19(8): 11701175.
35.Bolton, MA, Pruzinsky, T, Cash, TF, Persing, JA. Measuring outcomes in plastic surgery: body image and quality of life in abdominoplasty patients. Plast Reconstr Surg. 2003; 112(2): 619627.
36.Papadopulos, NA, Kovacs, L, Krammer, S, etal. Quality of life following aesthetic plastic surgery: a prospective study. J Plast Reconstr Aesthet Surg. 2007; 60(8): 915921.
37.Cintra, W Jr, Modolin, ML, Gemperli, R, etal. Quality of life after abdominoplasty in women after bariatric surgery. Obes Surg. 2008; 18(6): 728732.
38.Smeets, R, Noah, EM, Seiferth, NY, etal. Bioelectric impedance analysis and quality of life after body-contouring procedures in plastic surgery. J Plast Reconstr Aesthet Surg. 2009; 62(7): 940945.
39.Mellor, D, Fuller-Tyszkiewicz, M, McCabe, M, Ricciardelli, L. Body image and self-esteem across age and gender: a short-term longitudinal study. Sex Roles. 2010; 63(9–10): 672681.
40.Crerand, CE, Infield, AL, Sarwer, DB. Psychological considerations in cosmetic breast augmentation. Plast Surg Nurs. 2009; 29: 4957.
41.Von Soest, T, Kvalem, IL, Skolleborg, KC, Roald, HE. Psychosocial changes after cosmetic surgery: a 5-year follow-up study. Plast Reconstr Surg. 2011; 128(3): 765772.
42.Sarwer, DB. Discussion: Psychosocial changes after cosmetic surgery: a 5-year follow-up study. Plast Reconstr Surg. 2011; 128(3): 773774.
43.Kosowski, TR, McCarthy, C, Reavey, P, etal. A systematic review of patient-reported outcome measures after facial cosmetic surgery and/or nonsurgical facial rejuvenation. Plast Reconstr Surg. 2009; 123(6): 18191827.
44.Alderman, AK, Chung, KC. Discussion: A systematic review of patient-reported outcome measures after facial cosmetic surgery and/or nonsurgical facial rejuvenation. Plast Reconstr Surg. 2009; 123(6): 18281829.
45.Reavey, PL, Klassen, AF, Cano, SJ, etal. Measuring quality of life and patient satisfaction after body contouring: a systematic review of patient-reported outcome measures. Aesthet Surg J. 2011; 31(7): 807813.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

CNS Spectrums
  • ISSN: 1092-8529
  • EISSN: 2165-6509
  • URL: /core/journals/cns-spectrums
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed