Abstract

The present study aimed to provide a psychosocial profile of 169 patients seeking cosmetic surgery, and to evaluate longitudinally the effects of the surgery on psychosocial functioning. The results were compared with a control group of 53 patients who had presented for functional hand surgery for Dupuytren's contracture. Pre-operatively all patients were interviewed by the surgeon and they completed the following questionnaires: Middlesex Hospital, Life Events, Social Adjustment, Locus of Control and Self-Esteem. Prior to surgery, significant differences were found on psychometric assessment between the cosmetic surgery and the functional hand surgery groups. Patients differed significantly on such parameters as aspects of social adjustment, number of life events and anxiety (free and phobic scales of the MHQ). There were also some differences evident between patients presenting for different types of cosmetic surgery. Three months following surgery psychometric assessment was repeated. There were change...

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