Cosmetic medicine is a whole category of life options in a world where options are more prolific than ever. Endless options create psychological stress for some people, with the ever present possibility of making the “wrong” choice. The results of major cosmetic procedures are usually permanent, and “type-changing” operations such as nose and chin recontouring, breast surgery, and lip enlargement alter one’s birthright by changing body characteristics destined by DNA. Psychological distress after cosmetic procedures, especially those that alter one’s long-standing facial identity, is not uncommon. Even good physical results may come with unanticipated effects on personal relationships. A patient may be successful in recharging her love life, or she may find that her partner is threatened by her new appearance and increased self-confidence. Similar effects have been reported in relationships in which the partners were previously fairly equal but are put off kilter when one person loses considerable weight or suddenly achieves professional success. Read the rest of this entry »