title: Assessing adolescents and young girls for plastic surgical intervention: pre-surgical appearance ratings and appearance-related burdens as reported by adolescents and young adults, parents and surgeons.
abstract: Currently available research on psychological aspects of plastic surgery offers little basis for clinical decision making in the plastic surgeon's assessment of adolescents and young adults applying for surgery. Therefore, the research aims were to study: first, how these adolescents and young adults estimate their appearance as compared to their parents and plastic surgeons to determine the reality of their own appearance perception; second, what appearance-related burdens they experience to determine the urgency of their request for surgery; and third, the surgeons' considerations for the operation. Data were obtained from 184 plastic surgical patients aged 12-22 years (71.2% girls), 172 of their parents and 37 surgeons from 16 hospitals in The Netherlands, using appearance rating scales and to surgeons and parents, and reported substantial appearance-related suffering. There was a moderate to large overlap between the adolescent- and parent-reported burdens. In their assessment, surgeons took psychological and social impediments into consideration. In conclusion, plastic surgeons may rightfully assume that adolescents and young adults have a realistic view of their appearance and that they suffer from significant appearance-related burdens. Parents prove to be an important additional source of information.
authors.affiliation: Erasmus University Rotterdam, University Hospital, The Netherlands.
authors.forename: K J
authors.initials: KJ
authors.lastname: Simis
authors.forename: J M
authors.initials: JM
authors.lastname: Koot
authors.forename: F C
authors.initials: FC
authors.lastname: Verhulst
authors.forename: S E
authors.initials: SE
authors.lastname: Hovius
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D001828:Body Image; D002648:Child; D000013:Congenital Abnormalities / Q000523:psychology / Q000601:surgery*; D017281:Cost of Illness; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D010290:Parents / Q000523:psychology; D018579:Patient Selection; D019651:Plastic Surgery Procedures / Q000523:psychology*; D012649:Self Concept; D012720:Severity of Illness Index; D012923:Social Class