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Ethics and the facial plastic surgeon

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European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

A Letter to the Editor to this article was published on 30 September 2016

Abstract

The facial plastic surgeon potentially has a conflict of interest when confronted with the patients requesting surgery, due to the personal gain attainable by agreeing to perform surgery. The aim of this review is to discuss the potential harm the surgeon can inflict by carrying out facial plastic surgery, beyond the standard surgical complications of infection or bleeding. It will discuss the desire for self-improvement and perfection and increase in the prevalence facial plastic surgery. We address the principles of informed consent, beneficence and non-maleficence, as well as justice and equality and how the clinician who undertakes facial plastic surgery is at risk of breaching these principles without due care and diligence.

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References

  1. Edelstein L (1943) The Hippocratic oath, text, translation and interpretation. The Johns Hopkins press, Baltimore, p 64

    Google Scholar 

  2. Sokol DK (2013) “First do no harm” revisited. BMJ 347:f6426

    Article  PubMed  Google Scholar 

  3. Beauchamp TL, Childress JF (2001) Principles of biomedical ethics, 5th edn. Oxford University Press, New York, p 454

    Google Scholar 

  4. Ricketson G (1962) Basis for cosmetic surgery. South Med J 55:269–273

    Article  CAS  PubMed  Google Scholar 

  5. AAFPRS (2013) AAFPRS Membership Study. The American Academy of Facial Plastic and Reconstructive Surgery, 2013

  6. WHO Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19–22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p 100) and entered into force on 7 April 1948: World Health Organization, 1948

  7. DfC Affairs (2007) Mental Capacity Act 2005: Code of Practice. Department for Constitutional Affairs, London

    Google Scholar 

  8. Newell R (2000) Psychological difficulties amongst plastic surgery ex-patients following surgery to the face: a survey. Br J Plast Surg 53:386–392

    Article  CAS  PubMed  Google Scholar 

  9. Meningaud JP, Benadiba L, Servant JM, Herve C, Bertrand JC, Pelicier Y (2003) Depression, anxiety and quality of life: outcome 9 months after facial cosmetic surgery. J Cranio-Maxillo-Facial Surg Off Publ Eur Assoc Cranio-Maxillo-Facial Surg 31:46–50

    Article  Google Scholar 

  10. von Soest T, Kvalem IL, Wichstrom L (2012) Predictors of cosmetic surgery and its effects on psychological factors and mental health: a population-based follow-up study among Norwegian females. Psychol Med 42:617–626

    Article  Google Scholar 

  11. Hollyman JA, Lacey JH, Whitfield PJ, Wilson JS (1986) Surgery for the psyche: a longitudinal study of women undergoing reduction mammoplasty. Br J Plast Surg 39:222–224

    Article  CAS  PubMed  Google Scholar 

  12. Cingi C, Songu M, Bal C (2011) Outcomes research in rhinoplasty: body image and quality of life. Am J Rhinol Allerg 25:263–267

    Article  Google Scholar 

  13. Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA (1998) The psychology of cosmetic surgery: a review and reconceptualization. Clin Psychol Rev 18:1–22

    Article  CAS  PubMed  Google Scholar 

  14. Association AP (2013) Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association, Washington

    Google Scholar 

  15. Altamura C, Paluello MM, Mundo E, Medda S, Mannu P (2001) Clinical and subclinical body dysmorphic disorder. Eur Arch Psychiatry Clin Neurosci 251:105–108

    Article  CAS  PubMed  Google Scholar 

  16. Aouizerate B, Pujol H, Grabot D et al (2003) Body dysmorphic disorder in a sample of cosmetic surgery applicants. Eur Psychiatr J Assoc Eur Psychiatr 18:365–368

    Article  CAS  Google Scholar 

  17. Phillips KA, Dufresne RG Jr, Wilkel CS, Vittorio CC (2000) Rate of body dysmorphic disorder in dermatology patients. J Am Acad Dermatol 42:436–441

    Article  CAS  PubMed  Google Scholar 

  18. Picavet VA, Prokopakis EP, Gabriels L, Jorissen M, Hellings PW (2011) High prevalence of body dysmorphic disorder symptoms in patients seeking rhinoplasty. Plast Reconstr Surg 128:509–517

    Article  CAS  PubMed  Google Scholar 

  19. Phillips KA, Grant J, Siniscalchi J, Albertini RS (2001) Surgical and nonpsychiatric medical treatment of patients with body dysmorphic disorder. Psychosomatics 42:504–510

    Article  CAS  PubMed  Google Scholar 

  20. Crerand CE, Phillips KA, Menard W, Fay C (2005) Nonpsychiatric medical treatment of body dysmorphic disorder. Psychosomatics 46:549–555

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Phillips KA (2007) Suicidality in Body Dysmorphic Disorder. Prim Psychiatry 14:58–66

    PubMed  PubMed Central  Google Scholar 

  22. Brinton LA, Lubin JH, Burich MC, Colton T, Hoover RN (2001) Mortality among augmentation mammoplasty patients. Epidemiology 12:321–326

    Article  CAS  PubMed  Google Scholar 

  23. Brinton LA, Lubin JH, Murray MC, Colton T, Hoover RN (2006) Mortality rates among augmentation mammoplasty patients: an update. Epidemiology 17:162–169

    Article  PubMed  Google Scholar 

  24. Jacobsen PH, Holmich LR, McLaughlin JK et al (2004) Mortality and suicide among Danish women with cosmetic breast implants. Arch Intern Med 164:2450–2455

    Article  PubMed  Google Scholar 

  25. Koot VC, Peeters PH, Granath F, Grobbee DE, Nyren O (2003) Total and cause specific mortality among Swedish women with cosmetic breast implants: prospective study. BMJ 326:527–528

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Lipworth L, Nyren O, Ye W, Fryzek JP, Tarone RE, McLaughlin JK (2007) Excess mortality from suicide and other external causes of death among women with cosmetic breast implants. Ann Plast Surg 59:119–123 discussion 24–5

    Article  CAS  PubMed  Google Scholar 

  27. Pukkala E, Kulmala I, Hovi SL et al (2003) Causes of death among Finnish women with cosmetic breast implants, 1971–2001. Ann Plast Surg 51:339–342 discussion 43-4

    Article  PubMed  Google Scholar 

  28. Villeneuve PJ, Holowaty EJ, Brisson J et al (2006) Mortality among Canadian women with cosmetic breast implants. Am J Epidemiol 164:334–341

    Article  PubMed  Google Scholar 

  29. Edgerton MT, Jacobson WE, Meyer E (1960) Surgical-psychiatric study of patients seeking plastic (cosmetic) surgery: ninety-eight consecutive patients with minimal deformity. Br J Plast Surg 13:136–145

    Article  CAS  PubMed  Google Scholar 

  30. Wong WW, Camp MC, Camp JS, Gupta SC (2010) The quality of internet advertising in aesthetic surgery: an in-depth analysis. Aesthetic Surg J 30:735–743

    Article  Google Scholar 

  31. Spilson SV, Chung KC, Greenfield MLVH, Walters M (2002) Are plastic surgery advertisements conforming to the ethical codes of the american society of plastic surgeons? Plast Reconstr Surg 109:1181–1186

    Article  PubMed  Google Scholar 

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Correspondence to Neeraj Sethi.

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Sethi, N., MRCS DOHNS. Ethics and the facial plastic surgeon. Eur Arch Otorhinolaryngol 273, 2323–2327 (2016). https://doi.org/10.1007/s00405-015-3745-z

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  • DOI: https://doi.org/10.1007/s00405-015-3745-z

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