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Patients believe that cosmetic procedures affect their quality of life: An interview study of patient-reported motivations - 16/05/19

Doi : 10.1016/j.jaad.2019.01.059 
Abigail Waldman, MD a, b, c, Amanda Maisel, BS d, Alexandra Weil, BS d, Sanjana Iyengar, MD d, Kaitlyn Sacotte, BS d, Jake M. Lazaroff, BA d, Sasha Kurumety, BA d, Sara L. Shaunfield, PhD e, Kelly A. Reynolds, BA d, Emily Poon, PhD d, June K. Robinson, MD d, Murad Alam, MD, MSCI, MBA d, f, g,
a Department of Dermatology, Harvard Medical School, Boston, Massachusetts 
b VA Boston Healthcare System, Boston, Massachusetts 
c Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts 
d Department of Dermatology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 
e Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 
f Department of Otolaryngology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 
g Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 

Reprint requests: Murad Alam, MD, MSCI, MBA, 676 N St. Clair St, Suite 1600, Chicago, IL 60611.676 N St. Clair StSuite 1600ChicagoIL60611

Abstract

Background

Although treatments to address cosmetic concerns are common, patients’ self-reported motives for considering such procedures have not been systematically explored.

Objective

To develop a framework of categories to describe patients' self-reported motivations for undergoing minimally invasive cosmetic procedures.

Methods

Face-to-face, semistructured patient interviews were conducted with adult participants who had undergone or were considering minimally invasive cosmetic dermatologic procedures. A qualitative constant comparative approach was used to analyze interview transcripts, yielding themes and subthemes.

Results

A total of 30 interviews were completed. Most patient-reported motivations for cosmetic procedures could be subsumed under 8 general categories (themes): (1) mental and emotional health, (2) cosmetic appearance, (3) physical health, (4) work and/or school success, (5) social well-being, (6) cost and/or convenience, (7) procedural perceptions, and (8) timing of treatment. Many individual motivations in these categories were unrelated to desire for physical beauty. In particular, participants wanted to avoid being self-conscious, enhance confidence, reduce the time and expense required to conceal physical imperfections, and be perceived as capable at work.

Limitations

Only English-speaking patients in the United States were interviewed.

Conclusion

Patient-reported motivations for cosmetic procedures mostly pertained to physical and psychosocial well-being. Indeed, a desire for improved cosmetic appearance was only 1 of the 8 themes revealed through the patient interviews.

Le texte complet de cet article est disponible en PDF.

Key words : affect, appearance, believe, cosmetic, emotion, interview, motivations, patient, patient-reported, procedures, qualitative, quality of life


Plan


 Funding sources: Supported by an ASDS/Fredric Brandt Research Grant awarded to Dr Waldman.
 Conflicts of interest: None disclosed.


© 2019  American Academy of Dermatology, Inc.. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 80 - N° 6

P. 1671-1681 - juin 2019 Retour au numéro
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