Not everyone is an appropriate
candidate for surgery despite physical indications
being ideal for any given procedure. The surgeon may
decline to operate on an individual or may recommend
psychological counselling to ensure that the
patient’s desire for a change in appearance is not
part of an emotional problem that no amount of
surgery can fix.
It is the surgeon’s right to refuse treatment or
refer for a second opinion anyone he does not see as
a suitable candidate for surgery - this is a
decision that the doctor will make for the physical
and mental well-being of the patient. (On the rare
occasion that this happens then costs will be
discussed with BDT and the surgeon)
• Anyone who is not realistic and expects
unachievable results, such as those who insist on
having a celebrity’s nose,
with the hope
that they may acquire a celebrity lifestyle; a 50
year old who wants her youth of many decades ago,
patients who want
to be restored to their original “perfection”
following a severe accident or a serious illness.
Those
patients may well
be disappointed with the results of not just one but
of many surgeries.
• An uninformed patient who does not know what to
expect before, during and after surgery.
• An indecisive and vague patient who doesn’t know
what they want as they may not be able to
communicate with the
surgeon
what they want
• Anyone who needs a number of consultations with
many surgeons seeking the answers they want to hear.
These
patients are
hoping for a cure to a problem that is primarily or
not at all physical. We fully encourage all patients
to come
back for a second
consultation if they have any further queries.
Indeed BDT insists that patients should be
encouraged to
do this routinely
in order to ensure that they have been properly
counselled and are fully aware of the procedure
prior to
making an
informed consent to proceed.
If you find yourself asking
for your third, fourth or fifth consultation, this
is a strong indicator that you are not yourself sure
about having surgery, and you should not proceed
further. If you have already shopped around several
other surgeons, and cannot find any that you are
happy with, this could well mean that your
expectations are unrealistically high.
• Anyone with underlying emotional issues, are
depressed, or those in crisis, such as those who are
going through
divorce, the death of a
spouse, or the loss of a job. These patients may be
seeking to achieve goals that cannot be
obtained through an
appearance change - goals that relate to overcoming
crisis through an unrelated change in
appearance is not the
solution. Rather, a patient must first work through
the crisis. A set of circumstances may not
necessarily preclude
you from being suitable for cosmetic surgery, after
all, getting a nose job you`ve always dreamed
of might be a way of
boosting your confidence again and making a fresh
start. However, you should be extremely wary
about seeking surgery
when you are in an emotionally vulnerable state.
This could lead you to have unrealistic
expectations. The
results of your cosmetic surgery are not going to
prevent any relationship break-ups in the future.
• Anyone who imagines the tiniest blemish to be an
overwhelming obstacle, or view a feature negatively
when others can’t
see it, or those who
may be obsessed with a very minor defect and may
believe that once their defect is fixed, life will
be
perfect. Born
perfectionists may be suitable candidates for
surgery, as long as they are realistic enough to
understand
that surgical results
may not precisely match their goals. The most
successful surgery usually occurs when both the
surgeon and patient
have similar perceptions of the `deformity` to be
corrected and of course, everyone is more self-
conscious about an
apparent imperfection than third parties will be. If
however, you have got to a state where the tiniest
blemish has be come an
overwhelming obstacle, or where you perceive a
feature negatively that other observers can`t
even see, this is a
strong indicator that you will still not actually be
happy with the result of your surgery either.
• Anyone wanting surgery because they are being
motivated or pressurised by someone else rather than
themselves. This
scenario will
invariably lead to problems for you. It is extremely
important that you are honest with yourself and your
surgeon about this
matter. Pressure from a partner or spouse can lead
to you having multiple procedures. You maybe
exposing yourself to
further criticism if this partner is not pleased
with the results of your surgery. If you are
agreeing to
have this surgery in an
attempt to save a relationship eventually breaks
down, you will probably discover that you are
dissatisfied with the
surgery and will not think it has been worthwhile.
• Anyone who has a history of mental or
psychological illness or exhibits delusional
paranoid behaviour. Surgery may be
appropriate in these
cases if it is determined that the patient’s goals
for surgery are not related to the psychosis. Again,
a
“yes” answer to his
questions may not automatically exclude you from
having cosmetic surgery. After all, many people
will suffer a about of
mild to moderate depression at some point in their
lives, perhaps after a bereavement or divorce
However, we strongly recommend that such times are
not ideal moments to undergo cosmetic surgery. You
will be emotionally vulnerable, and may be hoping
that surgery will pull you out of your depression. A
depressed mental state will predispose you to
reacting negatively to the results of your surgery.
In our opinion, patients with any personality
disorder or long psychiatric history (particularly
if severe enough to warrant in-patient care should
never be operated on without the prior authorisation
and full cooperation of their psychiatrist or GP.
Failure to observe this rule will inevitably lead to
serious problems.)
• Anyone who has been refused surgery before for
whatever reason has probably been refused for a good
reason.
• Anyone who cannot afford surgery – the cost will
add too much financial stress to your life and post
operative mental
conditions may
well not be beneficial for recovery.
• Anyone who doesn’t have a support network to help
during recovery
• Anyone who doesn’t have the time in their
schedule for a proper recovery time
• Anyone who smokes or drinks heavily. Smokers and
drinkers who do choose to have surgery must quit for
at least 2
weeks prior to
surgery and be smoke free until at least 2 weeks
after surgery for proper healing and recovery, and
prevent
a higher rate of
infection, skin separation, skin death and
anaesthetic complications.
• Anyone who is seriously overweight/obese
• Anyone with heart conditions, diabetes,
hypertension, lung disease, heart disease, high
cholesterol, arthritis or is
malnourished
If an unsuitable patient is treated this will
invariably end in disappointment for both the
patient and her surgeon. Certain traits and
characteristics may increase the risk of your
dissatisfaction with surgery.
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