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Psychosomatic Medicine 27:183-192 (1965)
© 1965 American Psychosomatic Society

Mechanisms of Psychosocial Adjustment in Patients Seeking "Face-Lift" Operation

WILLIAM L. WEBB JR. M.D.1, REGINA SLAUGHTER M.S.S.W.1, EUGENE MEYER M.D.1, and MILTON EDGERTON M.D.2

1 Department of Plastic Surgery and the Psychiatric Liaison Service, The Johns Hopkins Hospital, Baltimore, Md.
2 Department of Plastic Surgery and the Psychiatric Liaison Service, The Johns Hopkins Hospital Baltimore, Md.

The clinical study and follow-up of 106 consecutive patients requesting cosmetic surgery for facial evidences of aging revealed a favorable subjective response in nearly all who underwent surgery. This favorable response included more positive attitudes toward themselves and the relief of depressive symptoms. All the patients showed striking similarities in social attitudes and motivations for surgery. Those below the age of 40 who requested surgery demonstrated greater past and present problems in personal adjustment, and such patients deserve careful preoperative psychiatric evaluation. The "face-lift" operation not only provides a definite realistic improvement in appearance but also meets the personality needs of these patients in their endeavor to re-establish previous adjustment patterns.

Submitted on June 22, 1964




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