Unlocking Success: The Power of Proper Screening in Plastic Surgery
Bruce Shack, M.D.
The Crucial Role of Screening in Plastic Surgery Outcomes
Have you ever wondered about the psychological implications behind cosmetic procedures, particularly breast augmentation? Recent discussions among plastic surgeons have spotlighted a worrying narrative: the misconception that women who opt for breast enhancement might be at a higher risk of suicide. It raises a critical question: Are we truly delving into the psychological readiness of candidates seeking cosmetic surgery?
A revealing study from renowned researchers sheds light on this very concern. The findings, published in the August issue of the Annals of Plastic Surgery, examined women in Sweden who underwent breast augmentation between 1965 and 1993 and discovered a startling increase in suicide rates among this group compared to the general populace. This intriguing data opens the door for further discussions about the psychological factors surrounding cosmetic surgery.
“As plastic surgeons, we must take these findings seriously,” asserts Dr. Bruce Shack, a prominent figure in the field. “In the U.S., our training emphasizes the importance of understanding our patients’ psychological backgrounds, particularly for those considering cosmetic enhancements.”
Interestingly, the study pinpointed that the rise in suicide rates didn’t surface until a decade post-surgery. “I would challenge even the most skilled psychiatrist to predict someone’s mental state ten years down the line,” Dr. Shack notes.
The research, led by esteemed professionals, has sparked national and international dialogue, echoing previous studies that have raised similar concerns. After nearly 19 years of follow-up, the striking conclusion was that the suicide rate for women who had cosmetic breast procedures was three times that of their peers. Alarmingly, the suicide spikes were mostly observed at least ten years after the surgery, coupled with heightened risks associated with substance abuse.
Despite the vast majority of women reporting satisfaction post-procedure, it appears that pre-existing psychiatric conditions among a subset of patients might significantly influence these grim statistics.
Dr. Shack emphasizes that U.S. plastic surgeons are trained to thoroughly evaluate their patients’ motivations before proceeding. “If someone is looking for surgery as a means to fix a troubled relationship or to compete in the job market, they might face disappointment regardless of how successful the surgery itself is,” he explains.
Indeed, the essence of a positive surgical experience lies in ensuring that patients are pursuing surgery for their own reasons—self-improvement, not external validation. “Often, patients emerge from surgery more confident and socially engaged,” remarks Dr. Shack.
In a survey conducted by The American Society for Aesthetic Plastic Surgery, an impressive 92% of women reported satisfaction with their breast augmentation results. Furthermore, a staggering 93% would recommend the procedure to loved ones. Patients felt well-informed about post-operative expectations and potential complications, demonstrating an effective pre-surgery communication process.
However, questions linger regarding long-term satisfaction. “While breast augmentation is widely regarded as a successful procedure, we cannot overlook the concerning links to suicide,” Dr. Shack cautions. “Most of our patients report enhanced lifestyles and improved self-esteem, but the importance of a thorough pre-operative evaluation cannot be overstated.”
Dr. Shack insists that any reputable plastic surgeon in the U.S. will not proceed with surgery if there’s concern about a patient’s likelihood of being satisfied with the outcome. “Every expectation must be thoroughly discussed during consultations before any surgery takes place,” he emphasizes.
During these preliminary consultations, savvy surgeons are trained to recognize psychological red flags. “One major warning sign is when a patient asks, ‘Doc, just look at me and tell me what I need,’” he points out. This kind of vague request can indicate that the patient may not be approaching surgery for the right reasons, potentially seeking solutions to deeper issues.
“A successful plastic surgeon blends surgical skills with psychological insight, understanding that some individuals may be looking for surgical fixes to underlying emotional struggles,” Dr. Shack concludes. “And most experienced plastic surgeons excel at this discernment.”
