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For better of for worse, appearance matters in our society It matters to the observer and the observed That is, people are concerned about their own appearance and that of others, particularly the appearance of a prospective mate Interest in appearance matters enough to form the foundation of the multibillion-dollar beauty industry and its concomitant but lucrative advertising Appearance also matters enough to propel millions of people each year to seek cosmetic enhancement at the hands of dermatologists and plastic surgeons as well as other body alterations from nonmedical specialists But it is important to realize that appearance is hardly all that matters For those who are not visually impaired, appearance is central in the first impression made to the world What matters more, though, is the content of character, as well as the life choices and actions one pursues Appearance is clearly a component in self-esteem, but it is just as clearly a relative component, it matters much more to some than others Indeed, for many, though, beauty is a controversial, inflammatory subject Cosmetic dermatologists and plastic surgeons can play a unique role in patients lives by performing procedures that impart a more youthful appearance, and by educating these patients on techniques to prevent aging, thereby providing an additional avenue for patients to improve self-esteem In addition, practitioners have a unique opportunity to be involved in pivotal changes in a patient s psyche Making patients feel good about themselves is certainly one of the perks of being a cosmetic dermatologist or plastic surgeon There is an apparently inexhaustible, cross-cultural search for and obsession with beauty The concept of beauty has evolved, perhaps, throughout the centuries as attempts to define, understand, or capture it have persisted Indeed, the search for beauty appears universal and timeless As such, when the notion is associated with enhancing or making modifications to one s natural endowment (to become more beautiful ), and it seems there is a steady supply of people who will seek to do so, such a procedure is best left in the hands of professionals who are
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expert in the physiology and health of the areas to be altered Essentially, it is better that cosmetic dermatologists and plastic surgeons meet the steady demand and, in so doing, apply medical knowledge and expertise toward the redevelopment and enhancement of the psyche as well as the skin Perhaps it is true that no one can make you feel inferior without your consent ; but it may be equally true that patients are giving consent to their physicians to make them feel superior superior to their recent selves or simply on a par with their earlier selves Physicians should handle this power responsibly and wisely Practitioners must recognize that there are countless influences on the aesthetic judgments of individuals and strive to educate patients to make the proper choices that will enhance their self-esteem and ameliorate their quality of life, without causing harm
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COSMETIC DERMATOLOGY: PRINCIPLES AND PRACTICE
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1 American Society of Plastic Surgery Web site http//wwwplasticsurgery org Accessed August 21, 2007 2 Etcoff N Survival of the Prettiest: The Science of Beauty New York, NY: Anchor Books; 2000:19-20 3 Etcoff N Survival of the Prettiest: The Science of Beauty New York, NY: Anchor Books; 2000:95-96 4 Cosmetics Design-Europecom Developing markets still head growth in global cosmetics and toiletries market http:// wwwcosmeticsdesign-europecom/ news/ngasp id 61158-kline-globalcosmetics Accessed August 21, 2007 5 Global Cosmetics and Toiletries 2006 Kline and Company: China surpasses France in global cosmetics and toiletries sales rankings http://wwwklinegroup com/news/china_ct_042007asp Accessed August 21, 2007 6 Brooke J Who braves piranha waters Your Avon lady! New York Times July 7, 1995 http://querynytimescom/gst/fullpagehtml res 990CE2D9113FF934A3 5754C0A963958260&sec &spon Accessed March 15, 2008 7 Etcoff N Survival of the Prettiest: The Science of Beauty New York, NY: Anchor Books; 2000:6 8 Williams J 50 Facts That Should Change the World Cambridge, UK: Icon Books Ltd; 2005 9 Blanco-Davila F Beauty and the body: the origins of cosmetics Plast Reconstr Surg 2000;105:1196 10 Etcoff N Survival of the Prettiest: The Science of Beauty New York, NY: Anchor Books; 2000:22 11 Drury NE Beauty is only skin deep J R Soc Med 2000;93:89 12 Etcoff N Survival of the Prettiest: The Science of Beauty New York, NY: Anchor Books; 2000:23 13 Jefferson Y Facial beauty establishing a universal standard Int J Orthod 2004;15:9 14 Etcoff N Survival of the Prettiest: The Science of Beauty New York, NY: Anchor Books; 2000:24
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