American Society of Plastic Surgeons
For Medical Professionals
 

Good Psychological Function Found in Adults with Congenital Facial Disfigurement

Arlington Heights, Ill. - People born with severe facial disfigurement have generally good psychological adjustment in adulthood, according to a study in the January issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

"Improving satisfaction with facial appearance (by surgery), enhancing self-esteem or lowering fear of negative appearance evaluation (by psychological support) may enhance long-term psychological functioning," concludes the new study led by Dr. Sarah L. Versnel of Erasmus University Medical Center, Rotterdam, Netherlands.

'Relatively Normal' Adjustment in Adults with Congenital Facial Disfigurement

The researchers administered a standard set of psychological, physical and demographic questionnaires to 59 adults with severe congenital facial disfigurement caused by rare, extensive facial cleft syndromes. At the time they completed the questionnaires, the participants' average age was 34.

For comparison, the same questionnaires were given to 59 adults with facial disfigurement caused by trauma and 120 adults with no disfigurement. Long-term psychological functioning was compared between groups, along with factors affecting adjustment.

The results show "relatively normal" psychological functioning in the adults with congenital facial disfigurement. They tend to have a higher rate of internalizing problems-such as anxiety and depression-compared to people with no facial disfigurement.

However, adults with congenital facial disfigurement were no more likely to have a clinical level of depression or anxiety. They had lower rates of physical problems than the comparison group with facial disfigurement caused by trauma. The group with traumatic disfigurement also had no increase in clinical depression or anxiety.

Assessed objectively by doctors, the severity of congenital facial deformities was unrelated to psychological functioning. However, patients who were less satisfied with their facial appearance tended to have more problems with psychological adjustment. Among participants with congenital disfigurement, problems with psychological functioning were also more common in people with low self-esteem and those who were concerned about how others would judge their appearance.

Historically, few studies have examined long-term psychological adjustment among people born with severe facial disfigurement. The new results suggest that, among adults with severe facial cleft syndromes, psychological function is relatively similar to that of people without facial deformities.

Psychological adjustment doesn't seem to be affected by the severity of the facial disfigurement, but rather by the person's perceptions and feelings about his or her appearance. That's an important consideration for plastic and reconstructive surgeons operating on patients with congenital facial disfigurement, Dr. Versnel and coauthors believe: "During treatment, patients' realistic wishes and expectations regarding their facial appearance should be taken into account."

Counseling to help improve low self-esteem, when present, may also have beneficial effects. "Psychological support...should be focused on training patients to rely less on the opinions of others," the researchers suggest.

Plastic and Reconstructive Surgery® is published by Lippincott Williams & Wilkins, part of Wolters Kluwer Health.

About Plastic and Reconstructive Surgery

For over 75 years, Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. The official journal of the American Society of Plastic Surgeons, Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair and cosmetic surgery, as well as news on medico-legal issues.

About ASPS

The American Society of Plastic Surgeons (ASPS) is the largest organization of board-certified plastic surgeons in the world. Representing more than 7,000 physician members, the society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 93 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the society represents physicians certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada.

About Wolters Kluwer

Wolters Kluwer (WKL) is a global leader in professional information, software solutions and services for the clinicians, nurses, accountants, lawyers and tax, finance, audit, risk, compliance and regulatory sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with advanced technology and services.

Wolters Kluwer reported 2020 annual revenues of €4.6 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 19,200 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.

Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students in effective decision-making and outcomes across healthcare. We support clinical effectiveness, learning and research, clinical surveillance and compliance, as well as data solutions. For more information about our solutions, visit https://www.wolterskluwer.com/en/health and follow us on LinkedIn and Twitter @WKHealth.

For more information, visit www.wolterskluwer.com, and follow us on Twitter, Facebook, LinkedIn and YouTube.

Media Contact

ASPS Media Relations
(847) 228-3333
media@plasticsurgery.org

Logo

Patient Care Center