Objectives: To gain a basic understanding of the knowledge build up in the field of social psychology regarding first impressions. To form an opinion how this knowledge can be applied in cosmetic medicine.

Introduction: In social psychology a body of knowledge has been build regarding face evaluation in a social context. How do we form an opinion about the nature of a persons mind and personality based on facial features? Although this concept has been falsified over and over again, our human mind does this all the time and in a split of a second. In this era of social media this 'first impression' becomes increasingly important. This has consequences for our work in injectable treatments.

Materials / method: Highlight from social psychology literature in the last 20 years will be explained.

Conclusion: In our work in cosmetic medicine we need to shift our focus from beauty/attractiveness exclusively to included other facial traits such as competence/leadership, trustworthiness/friendliness and others. Social psychology has also scientific tools that make more objective assessments of treatment results

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Objectives: Dysmorphophobia has been described for more than a century. This psychiatric condition, also termed body dysmorphic disorder (BDD), is marked by a fixation on an imaginary flaw in the physical appearance.

Introduction: In cases in which a minor defect truly exists, the individual with body dysmorphic disorder exhibits an inordinate amount of anguish. Body dysmorphic disorder often is encountered in dermatologic and cosmetic surgery settings.

Materials / method: Body dysmorphic disorder results in significant suffering, occupational dysfunction, and/or social malaise. Individuals with body dysmorphic disorder have variable degrees of awareness concerning the psychiatric nature of the illness.

Results: Many people continue to agonize about an imagined defect although they are cognizant that their concerns are excessive. Other people with dysmorphophobia are regarded as delusional and have no insight into their unusual behavioral tendencies.

Conclusion: It is of great importance for the cosmetic Dermatologist as well as for the Plastic Surgeon to be able to spot diagnose this condition and deal with it carefully to avoid many problems which might rise later on from the patient side. The topic will be presented in a short oral presentation.

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