The authors submit five case-histories supplemented by detailed phographic documentation. They demonstrate situations where patients were dissatisfied with the result of plastic operations despite their perfect technical standard.
The patients wished to have a plastic operation with the unrealistic expectation that it will resolve their interpersonal or personal problems. The authors discuss the problem of psychopathology of personality in applicants for an aesthetic plastic surgical operation, in particular dysmorphic disorders.
The authors recommend more systematic collaboration of surgeons with a psychologist or psychiatrist as prevention of this type of postoperative complications.