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请注明名称（个人，公司，学会等等）: AID nonprofit organisation, Sally Gottesman

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请注明名称（个人，公司，学会等等）: Brixton Biosciences, EyeCool Therapeutics

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请注明日期: Pending. Patents are owned my MassGeneral Hospital which is my employer
和审阅情况: 2015-2022

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Objectives: Dermatologists are called to improve their screening capabilities in order to recognize potentially problematic patient, borderline with BDD, and possibly avoid treating them.

Introduction: In spite of Covid pandemic, aesthetic and cosmetic dermatological procedures have consistently increased. The psychosocial impact this long lasting pandemic situation is inducing on the world population is difficult to fully appreciate but it is definitely quite important. Even in normal general conditions seeking aesthetic and cosmetic treatments might hide variable degrees of psychological discomfort which have been enormously amplified by Covid pandemic.

Materials / method: Seeking aesthetic and cosmetic improvements is not a good strategy to “cure” underlying psychological uneasiness and might even worsen the original situation should results do not match patients’ clinical expectations. Dermatologists are called to improve their screening capabilities in order to recognize potentially problematic patient, borderline with BDD, and possibly avoid treating them.

Results: This exercise is not always easy since many skillful dissimulators may fool even the most expert practitioners but all efforts should be implemented to spot even the most subtle signs of internal psychological pressure during the initial interview. In rare cases cosmetic and aesthetic perception of their body appearance by psychologically fragile patients can even cause problems after simple diagnostic procedures such as a shave biopsy performed to rule out a possible non-melanoma skin cancer.

Conclusion: “Wounding” the unstable perceived aesthetic equilibrium of such patients can generate a disproportionally aggressive reaction even if perfect healing processes have been assisted by proper explanatory instructions and wound care. Personal professional charisma and innate emphatic attitude are very valuable weapons to defend ourselves should controversies arise before or after cosmetic and aesthetic procedures.

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请注明名称（个人，公司，学会等等）: GPQ Srl

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这项工作的完成感谢以下机构的支持： GPQ educational grant