(1) General Postoperative Reactions in Cosmetic Surgery:
After undergoing cosmetic surgery, patients typically experience certain psychological reactions. These individuals have usually carefully considered and deliberated on the surgery, holding optimistic expectations for the results. Once the surgery is completed, they are eager to assess the outcome and often worry about the possibility of it not meeting their expectations. This can lead to feelings of anxiety, depression, fear, insomnia, and irritability. These reactions typically manifest within the first week post-surgery and their intensity and duration are often linked to the patient’s psychological resilience and the specific surgical site.
During this period, it is essential to provide psychological support to the patients. Encouraging and honest communication from healthcare professionals or those around them can greatly alleviate their psychological distress. Around 3 days post-surgery, when patients notice swelling, bruising, or changes in color on their face, they may become alarmed and question the success of the surgery.
Some patients may struggle to adapt to changes in their appearance within a month after the dressings are removed due to a lack of understanding of the swelling reduction process in the surgical area. Moreover, denial of these changes by family, friends, or others can exacerbate their psychological challenges. In severe cases, patients may even request additional surgery to revert to their original appearance.
Therefore, it is crucial for surgeons to clearly explain the expected surgical outcomes, the anticipated changes, and the tissue repair process to patients before the surgery. Additionally, reiterating the potential changes and final results before removing the dressings can significantly help reduce or eliminate the psychological barriers faced by patients.
(2) Dissatisfaction with Surgical Results:
As the swelling subsides and tissues heal, the outcomes of the surgery start to become visible. While most patients tend to be satisfied with the surgical results at this stage, there are also some who express dissatisfaction. This dissatisfaction can be attributed to two main factors.
- Subjective Factors:
- Subjective factors involve both the patient and the surgeon. Patients undergoing cosmetic surgery may have unrealistically high expectations prior to the procedure, and there may be a lack of clear communication from the surgeon. Conversely, the surgeon may provide clear explanations, but the patient’s expectations may still be unreasonably high. This mismatch in expectations is a common cause of postoperative dissatisfaction. Therefore, as a cosmetic surgeon, it is crucial to address subjective aspects first. This includes ensuring appropriate patient selection, a thorough understanding of surgical indications, and meticulous collection and organization of preoperative information (such as medical records, communication logs, and photographs). Moreover, some practitioners in the beauty industry may overestimate their technical skills, ignore realistic limitations, or overly promote and exaggerate the benefits of cosmetic surgery for personal gain. These factors can also contribute to postoperative dissatisfaction.
- Objective Factors:
- Objective factors are primarily related to medical issues, often stemming from technical errors, differences in aesthetic preferences, and occasionally infections. A failed or unsuccessful surgery can have a significant psychological impact on the patient, leading to emotional distress and physical discomfort. Preventing and addressing such issues has become a key focus and ongoing responsibility for cosmetic surgeons.