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Body Image and Self-esteem in Botulinumtoxin A and Dermal Filler Patients

Background: The demand for minimally invasive cosmetic procedures has continued to rise especially in Germany, yet few studies have examined this patient population. The literature in Germany has repeatedly voiced the speculation that users of minimally invasive, skin-rejuvenating procedures displayed a higher tendency toward dysmorphic behavior patterns or respectively less self-esteem.

Objectives: Aim of this study was to investigate body image, self-esteem and socioeconomic parameters in users of BoNTA and/or facial fillers.

Methods: One hundred forty five females presented for botulinum toxin and/or soft tissue filler injections, completed demographic and standardized psychometric questionnaires such as Rosenberg Self-Esteem Scale and Body Dysmorphic Disorder Questionnaire before treatment.

Results: Patients undergoing injectable aesthetic treatments in an urban dermatology practice were woman, middle-aged, highly educated and mostly employed. Furthermore, patients who undergo minimally facial rejuvenation procedures showed a normal sense of self-esteem, and have a lower body mass index than controls. Participants also had a normal body image and no signs for a body image disturbance were found.

Conclusions: This study helps to better understand the psychosocial factors characterizing this patient population. No signs of body dysmorphic pattern or less self-esteem were found.


Phil Habil Borkenhagen*

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