Abstract
Background: The demand for minimally invasive cosmetic procedures has continued to rise especially in Germany, yet few studies have examined this patient population. The literature in Germany has repeatedly voiced the speculation that users of minimally invasive, skin-rejuvenating procedures displayed a higher tendency toward dysmorphic behavior patterns or respectively less self-esteem. Objectives: Aim of this study was to investigate body image, self-esteem and socioeconomic parameters in users of BoNTA and/or facial fillers. Methods: One hundred forty five females presented for botulinum toxin and/or soft tissue filler injections, completed demographic and standardized psychometric questionnaires such as Rosenberg Self-Esteem Scale and Body Dysmorphic Disorder Questionnaire before treatment. Results: Patients undergoing injectable aesthetic treatments in an urban dermatology practice were woman, middle-aged, highly educated and mostly employed. Furthermore, patients who undergo minimally facial rejuvenation procedures showed a normal sense of self-esteem, and have a lower body mass index than controls. Participants also had a normal body image and no signs for a body image disturbance were found. Conclusions: This study helps to better understand the psychosocial factors characterizing this patient population. No signs of body dysmorphic pattern or less self-esteem were found.
Highlights
The treatment with Botulinumtoxin A (BoNT-A) is the most common minimally invasive cosmetic surgery procedure, followed by dermal fillers
Excessive body image dissatisfaction is a symptom of body dysmorphic disorder which is a contraindication for cosmetic surgery [5] and minimally invasive cosmetic procedures as well
We found that botulinum toxin and/or facial filler patients have a significantly higher education level than age-matched women in Berlin and in Germany as well
Summary
The treatment with Botulinumtoxin A (BoNT-A) is the most common minimally invasive cosmetic surgery procedure, followed by dermal fillers. A large amount of psychosocial research suggests that physical appearance influences most aspects of life, quality of life, self-esteem, and body image, and interpersonal relationships, and employment opportunities [1,2,3,4] According to these researches the presence of a certain degree of body image dissatisfaction is believed to be a key motivation for seeking minimally invasive rejuvenation procedures. Studies on body image and self-esteem of patients requesting minimally invasive facial rejuvenation procedures are rare. In the German publication, it was repeatedly speculated that users of minimally invasive rejuvenating procedures displayed a higher tendency toward dysmorphic behavior patterns [6] and less self-esteem.
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