Essential Psychiatry for the Aesthetic Practitioner

Evan A. Rieder, MD, is a board-certified Dermatologist and Psychiatrist. He is a full-time faculty member of the New York University Department of Dermatology, where he practices cosmetic and medical dermatology, teaches the next generation of physicians, and contributes to the scientific literature and popular media.Richard G. Fried, MD, PhD, is a clinician, researcher, and teacher. He is a board-certified Dermatologist and Clinical Psychologist with numerous publications in professional journals.

• List of Contributors xiPreface xvPart I The Basics 11 Stress, Skin, and Beauty: The Basic Science Base 3Mary D. Sun and Evan A. RiederBasic Science Principles 3Clinical Correlates 5Conclusions 9References 92 The Science and Psychology of Beauty 22Vanessa J. CutlerEvolutionary Explanations for Beauty 22Beauty as a Function of Health 23Weight and Attractiveness 23Facial Proportions 24Age and Youth 26Enhancing Beauty 26Beauty and the Media 27Conclusions 28References 283 The Use of Cosmetic Products to Improve Self Esteem & Quality of Life 34Zoe Diana DraelosIntroduction 34Human Perceptions of Physical Beauty 34Topical Cosmetic Products for the Patient with Facial Scarring 36Cosmetic Camouflage Application 37Conducting a Cosmetic Product Consultation 39Conclusions 40References 404 An Approach to Cosmeceuticals 42Emily C. Milam and Evan A. RiederIntroduction 42Case Study 42Active Ingredients and Indications 44Approaching the Evidence 44The Evidence Base is Limited 45Psychology, Skin Care, and Self-Care 45Practical Solutions for Patient Consultation 46Conclusions 46References 47Part II Assessment 495 Aesthetic Assessment and Theories of Beauty 51Michael Abrouk, Leslie Harris, Evan A. Rieder, and Jill S. WaibelIntroduction 51Beauty in our World 52The Link between Beauty and Mathematics: From Phi to the Golden Triangle 53Neoclassical Canons and Aesthetics 54Scales of Aesthetic Assessment 55How to Approach the Face 57Case Studies 58Conclusions 61References 626 The Cosmetic Consultation: Anatomy and Psychology – The Female Patient 64Eagan Zettlemoyer and Noëlle S. SherberIntroduction 64Female Facial Anatomy 64Structuring the Consult 70Case Studies 73Conclusions 75References 767 The Cosmetic Consultation: Anatomy and Psychology – The Male Patient 79Kalee Shah, Nathaniel Lampley III, and Anthony RossiIntroduction 79Male Facial Anatomy 80Structuring the Consult, Considering Patient Motivations and Psychology 85Case Studies 87Conclusions 90References 918 The Cosmetic Consultation: Anatomy and Psychology – The Transgender Patient 94Brian GinsbergIntroduction 94Anatomy 94Structuring the Consult 95Setting Expectations 99Treating Minors 99Case Studies 99Conclusions 101References 101Part III Perception 1059 Aesthetic Interventions and the Perception of the Self: Quality of Life and Patient Reported Outcomes 107Danielle Weitzer and Richard G. FriedIntroduction 107Perception of Self 108Perception by Others 109Outcome Studies 109Case Study 110Consequences and Ethical Concerns 112Conclusions 112References 11310 Aesthetic Interventions and the Perception of Others: Observer Reported Outcomes 115Payal Shah and Evan A. RiederCase Studies 115Observer Reported Outcomes as a Novel Evaluation Tool for Cosmetic Procedures 118Conclusions 120References 12111 Botulinum Toxins: Beauty, Psychology, and Mood in the Cosmetic Patient 125Catherine Pisano, Jason Reichenberg, and Michelle MagidIntroduction 125Case Study 125Pathogenesis 126Treatment 126Clinical Relevance and Implications 128Conclusions 129References 129Part IV Psychological Challenges in Aesthetics 13112 Boundaries 133Evan A. Rieder and Jacob SacksIntroduction 133Case Studies 133Conclusions 140References 14013 Difficult Personalities and Personality Disorders in the Cosmetic Clinic 141Mio Nakamura and John KooIntroduction 141Difficult Personalities vs. Personality Disorders 141Personality Disorders 142Case Studies 144Conclusions 148References 14914 Normative Discontent and Social Dysmorphia in the Cosmetic Patient 151Susruthi Rajanala and Neelam A. VashiIntroduction 151Body Image and Body Image Dissatisfaction 151Social Dysmorphia 152Case Study 154Conclusions 154References 15515 Obsessive Compulsive Disorder and Body Dysmorphic Disorder in the Cosmetic Patient 157Mary D. Sun and Evan A. RiederIntroduction 157Case Studies 159Screening for BDD in Aesthetic Medicine 161Guide to the Clinical Interview for BDD 162Clinical Approaches to BDD in Aesthetic Medicine 164Conclusions 164References 16516 Protecting Your Patients: When Enough Is Enough – Saying No and Satisfying the Dissatisfied Patient 168Jacqueline Watchmaker, Prasanthi Kandula, and Michael S. KaminerIntroduction 168The LEAP Technique for a Successful Cosmetic Consult 168Case Study 170The BLAST Technique for Dealing with Unhappy Patients 170Case Study 172Conclusions 173References 17317 Protecting Yourself: Legal Issues in Aesthetic Medicine – Informed Consent, Discharge, and Lawsuits 175Brian P. Hibler and Mathew M. AvramIntroduction 175Key Legal Terms 175Case Studies 177Conclusions 186References 186Part V Psychological Tools to Assist Your Practice 18918 Psychological Tools to Assist Your Practice: Progressive Muscle Relaxation, Deep Abdominal Breathing, Mindfulness, and Guided Imagery 191Nicholas Brownstone, Bridget Myers, and Josie HowardIntroduction 191Case Studies 191Conclusions 196References 19719 Hypnotic Techniques for the Aesthetic Practitioner 200Philip D. ShenefeltIntroduction 200Informal Hypnotic Techniques 200Hypnotizability 201Formal Hypnotic Techniques 201Case Studies 202For Additional Information 204Conclusions 204References 20520 Acceptance and Commitment Therapy in the Aesthetic Setting 206Vanessa J. CutlerIntroduction 206Understanding Acceptance and Commitment Therapy 206Incorporating ACT into an Esthetics Practice 208Case Study 211Special Populations to Note 212Conclusions 212References 21321 Behavioral Modification for Acne Excoriée and Skin Picking 216Karen M. Ong, Mary D. Sun, and Evan A. RiederIntroduction 216Case Study 216Behavioral Modification 219Conclusions 220References 22122 Motivational Interviewing for Identification and Triage of the Cosmetic Addict 223Richard G. Fried and Evan A. RiederIntroduction 223Case Study 223Using Elements of Motivational Interviewing to Identify and Redirect Inappropriate Cosmetic Patients 225What Is Motivational Interviewing? 225Specific Techniques 225Exploration 227Change Talk 228Reflection 228Breaking Barriers 228Committing to Change 229Conclusions 229References 22923 Beauty Through the Life Continuum 230Doris DayIntroduction 230Communication 230Trust 231Case Study 233Developing a Long-Term Healthy Relationship with Beauty 234Conclusions 235References 236Index 237