title: Importance of a psychiatric approach in cosmetic surgery.
abstract: BACKGROUND
  Some studies have suggested that certain types of psychiatric problems may be more prevalent in patients undergoing cosmetic surgery than in the general population.
  
  
  OBJECTIVE
  In this study, 140 patients undergoing cosmetic surgery took a screening test before surgery. The results were statistically analyzed to evaluate the importance of a psychiatric approach in cosmetic surgery.
  
  
  METHODS
  At the first visit to the clinic, an interview was carried out in the presence of a psychiatrist. If needed, a secondary evaluation was performed on those patients with suspected psychological disorders.
  
  
  RESULTS
  Preoperative screening led to the diagnosis of psychiatric disorders in 45 of 140 patients (32%). Final psychiatric diagnoses included neuroses such as body dysmorphic disorder and depression/depressive states.
  
  
  CONCLUSIONS
  It is sometimes beneficial to prioritize psychiatric treatment instead of focusing solely on surgical treatment to achieve better outcomes in patients undergoing cosmetic surgery who have psychiatric disorders. Preoperative psychiatric screening should be routine in the practice of cosmetic surgery.
authors.affiliation: Department of Plastic and Aesthetic Surgery, Kitasato University School of Medicine, 1-15-1, Kitasato, Sagamihara 228-8555, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hayashi
authors.forename: Hideo
authors.initials: H
authors.lastname: Miyachi
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Nakakita
authors.forename: Minekatsu
authors.initials: M
authors.lastname: Akimoto
authors.forename: Kazuya
authors.initials: K
authors.lastname: Aoyagi
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Miyaoka
authors.forename: Eijyu
authors.initials: E
authors.lastname: Uchinuma