Dysmorphic patients are those obsessively preoccupied with real or imaginary defects. They take great measures to point out defects which are not viewed by the physician. In general, those defects are minor but are perceived by them to be disfiguring. The inability to deal with unavoidable scars is also a warning that dissatisfaction may rise after the cosmetic procedure. Some patients do have a real psychiatric or emotional disorder. Patients with borderline personality, obsessive-compulsive and narcissistic disorders should be avoided.

Here it is at the discretion of the aesthetic physician to tell the patient in a very compassionate way that the result they are looking for cannot be obtained by this procedure.

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