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Background <p>&#xa0;The global aesthetic surgery industry is expanding rapidly, with success increasingly defined by patient-reported outcomes. Postoperative satisfaction, a key metric, is strongly influenced by preoperative psychological state.</p> Objectives <p>&#xa0;To synthesize evidence on the relationship between preoperative psychological factors (e.g., body image, emotions, personality, expectations) and postoperative satisfaction.</p> Methods <p>&#xa0;A narrative review was conducted, including studies on body dysmorphic disorder (BDD), body image dissatisfaction, anxiety, depression, self-esteem, personality, and motivations across various procedures.</p> Results <p>&#xa0;BDD is a consistent negative predictor of satisfaction, often a contraindication. Body image dissatisfaction, unrealistic expectations, and traits like neuroticism also correlate with lower satisfaction. Conversely, functionally motivated procedures (e.g., reduction mammaplasty) yield high, sustained satisfaction. Expectation-reality alignment is a core mediator. Surgical type, demographics, and time moderate the relationship. Standardized tools (e.g., BDDQ, FACE-Q) provide reliable assessment.</p> Conclusions <p>&#xa0;Preoperative psychological state critically determines satisfaction. Integrating standardized screening, expectation management, and perioperative psychological support within a collaborative biopsychosocial model is essential for optimizing outcomes and patient well-being.</p> Level of Evidence V <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>

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The Correlation Between Preoperative Psychological State and Postoperative Satisfaction in Aesthetic Surgery: A Comprehensive Review

  • 期刊论文

  • 发表日期：

    2026年7月30日

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  • Xiaoting Li,
  • Xiancheng Wang,
  • Hongli Zhao,
  • Kemin Yi

摘要

Background

 The global aesthetic surgery industry is expanding rapidly, with success increasingly defined by patient-reported outcomes. Postoperative satisfaction, a key metric, is strongly influenced by preoperative psychological state.

Objectives

 To synthesize evidence on the relationship between preoperative psychological factors (e.g., body image, emotions, personality, expectations) and postoperative satisfaction.

Methods

 A narrative review was conducted, including studies on body dysmorphic disorder (BDD), body image dissatisfaction, anxiety, depression, self-esteem, personality, and motivations across various procedures.

Results

 BDD is a consistent negative predictor of satisfaction, often a contraindication. Body image dissatisfaction, unrealistic expectations, and traits like neuroticism also correlate with lower satisfaction. Conversely, functionally motivated procedures (e.g., reduction mammaplasty) yield high, sustained satisfaction. Expectation-reality alignment is a core mediator. Surgical type, demographics, and time moderate the relationship. Standardized tools (e.g., BDDQ, FACE-Q) provide reliable assessment.

Conclusions

 Preoperative psychological state critically determines satisfaction. Integrating standardized screening, expectation management, and perioperative psychological support within a collaborative biopsychosocial model is essential for optimizing outcomes and patient well-being.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.