Essential Psychiatry for the Aesthetic Practitioner

List of Contributors xi Preface xv Part I The Basics 1 1 Stress, Skin, and Beauty: The Basic Science Base 3 Mary D. Sun and Evan A. Rieder Basic Science Principles 3 Clinical Correlates 5 Conclusions 9 References 9 2 The Science and Psychology of Beauty 22 Vanessa J. Cutler Evolutionary Explanations for Beauty 22 Beauty as a Function of Health 23 Weight and Attractiveness 23 Facial Proportions 24 Age and Youth 26 Enhancing Beauty 26 Beauty and the Media 27 Conclusions 28 References 28 3 The Use of Cosmetic Products to Improve Self Esteem & Quality of Life 34 Zoe Diana Draelos Introduction 34 Human Perceptions of Physical Beauty 34 Topical Cosmetic Products for the Patient with Facial Scarring 36 Cosmetic Camouflage Application 37 Conducting a Cosmetic Product Consultation 39 Conclusions 40 References 40 4 An Approach to Cosmeceuticals 42 Emily C. Milam and Evan A. Rieder Introduction 42 Case Study 42 Active Ingredients and Indications 44 Approaching the Evidence 44 The Evidence Base is Limited 45 Psychology, Skin Care, and Self-Care 45 Practical Solutions for Patient Consultation 46 Conclusions 46 References 47 Part II Assessment 49 5 Aesthetic Assessment and Theories of Beauty 51 Michael Abrouk, Leslie Harris, Evan A. Rieder, and Jill S. Waibel Introduction 51 Beauty in our World 52 The Link between Beauty and Mathematics: From Phi to the Golden Triangle 53 Neoclassical Canons and Aesthetics 54 Scales of Aesthetic Assessment 55 How to Approach the Face 57 Case Studies 58 Conclusions 61 References 62 6 The Cosmetic Consultation: Anatomy and Psychology – The Female Patient 64 Eagan Zettlemoyer and Noëlle S. Sherber Introduction 64 Female Facial Anatomy 64 Structuring the Consult 70 Case Studies 73 Conclusions 75 References 76 7 The Cosmetic Consultation: Anatomy and Psychology – The Male Patient 79 Kalee Shah, Nathaniel Lampley III, and Anthony Rossi Introduction 79 Male Facial Anatomy 80 Structuring the Consult, Considering Patient Motivations and Psychology 85 Case Studies 87 Conclusions 90 References 91 8 The Cosmetic Consultation: Anatomy and Psychology – The Transgender Patient 94 Brian Ginsberg Introduction 94 Anatomy 94 Structuring the Consult 95 Setting Expectations 99 Treating Minors 99 Case Studies 99 Conclusions 101 References 101 Part III Perception 105 9 Aesthetic Interventions and the Perception of the Self: Quality of Life and Patient Reported Outcomes 107 Danielle Weitzer and Richard G. Fried Introduction 107 Perception of Self 108 Perception by Others 109 Outcome Studies 109 Case Study 110 Consequences and Ethical Concerns 112 Conclusions 112 References 113 10 Aesthetic Interventions and the Perception of Others: Observer Reported Outcomes 115 Payal Shah and Evan A. Rieder Case Studies 115 Observer Reported Outcomes as a Novel Evaluation Tool for Cosmetic Procedures 118 Conclusions 120 References 121 11 Botulinum Toxins: Beauty, Psychology, and Mood in the Cosmetic Patient 125 Catherine Pisano, Jason Reichenberg, and Michelle Magid Introduction 125 Case Study 125 Pathogenesis 126 Treatment 126 Clinical Relevance and Implications 128 Conclusions 129 References 129 Part IV Psychological Challenges in Aesthetics 131 12 Boundaries 133 Evan A. Rieder and Jacob Sacks Introduction 133 Case Studies 133 Conclusions 140 References 140 13 Difficult Personalities and Personality Disorders in the Cosmetic Clinic 141 Mio Nakamura and John Koo Introduction 141 Difficult Personalities vs. Personality Disorders 141 Personality Disorders 142 Case Studies 144 Conclusions 148 References 149 14 Normative Discontent and Social Dysmorphia in the Cosmetic Patient 151 Susruthi Rajanala and Neelam A. Vashi Introduction 151 Body Image and Body Image Dissatisfaction 151 Social Dysmorphia 152 Case Study 154 Conclusions 154 References 155 15 Obsessive Compulsive Disorder and Body Dysmorphic Disorder in the Cosmetic Patient 157 Mary D. Sun and Evan A. Rieder Introduction 157 Case Studies 159 Screening for BDD in Aesthetic Medicine 161 Guide to the Clinical Interview for BDD 162 Clinical Approaches to BDD in Aesthetic Medicine 164 Conclusions 164 References 165 16 Protecting Your Patients: When Enough Is Enough – Saying No and Satisfying the Dissatisfied Patient 168 Jacqueline Watchmaker, Prasanthi Kandula, and Michael S. Kaminer Introduction 168 The LEAP Technique for a Successful Cosmetic Consult 168 Case Study 170 The BLAST Technique for Dealing with Unhappy Patients 170 Case Study 172 Conclusions 173 References 173 17 Protecting Yourself: Legal Issues in Aesthetic Medicine – Informed Consent, Discharge, and Lawsuits 175 Brian P. Hibler and Mathew M. Avram Introduction 175 Key Legal Terms 175 Case Studies 177 Conclusions 186 References 186 Part V Psychological Tools to Assist Your Practice 189 18 Psychological Tools to Assist Your Practice: Progressive Muscle Relaxation, Deep Abdominal Breathing, Mindfulness, and Guided Imagery 191 Nicholas Brownstone, Bridget Myers, and Josie Howard Introduction 191 Case Studies 191 Conclusions 196 References 197 19 Hypnotic Techniques for the Aesthetic Practitioner 200 Philip D. Shenefelt Introduction 200 Informal Hypnotic Techniques 200 Hypnotizability 201 Formal Hypnotic Techniques 201 Case Studies 202 For Additional Information 204 Conclusions 204 References 205 20 Acceptance and Commitment Therapy in the Aesthetic Setting 206 Vanessa J. Cutler Introduction 206 Understanding Acceptance and Commitment Therapy 206 Incorporating ACT into an Esthetics Practice 208 Case Study 211 Special Populations to Note 212 Conclusions 212 References 213 21 Behavioral Modification for Acne Excoriée and Skin Picking 216 Karen M. Ong, Mary D. Sun, and Evan A. Rieder Introduction 216 Case Study 216 Behavioral Modification 219 Conclusions 220 References 221 22 Motivational Interviewing for Identification and Triage of the Cosmetic Addict 223 Richard G. Fried and Evan A. Rieder Introduction 223 Case Study 223 Using Elements of Motivational Interviewing to Identify and Redirect Inappropriate Cosmetic Patients 225 What Is Motivational Interviewing? 225 Specific Techniques 225 Exploration 227 Change Talk 228 Reflection 228 Breaking Barriers 228 Committing to Change 229 Conclusions 229 References 229 23 Beauty Through the Life Continuum 230 Doris Day Introduction 230 Communication 230 Trust 231 Case Study 233 Developing a Long-Term Healthy Relationship with Beauty 234 Conclusions 235 References 236 Index 237