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I attended the fascinating FACE (Facial Aesthetic Conference and Exhibition) 2010 annual conference at the Royal College of Physicians in July and was honoured to be asked to deliver the keynote opening address. I was particularly thrilled, as I had the privilege of accepting a similar invitation a few years ago when this series of successful annual Conferences was just beginning to get off the ground.
My talk arose out of my experience working in private practice in Harley St taking referrals from my medical colleagues to assist in improving the well-being of patients they are working with. In this area of work, I am not consulting with people who are psychiatrically unwell in any way, but more they are emotionally ambitious.
In the last few years, economies may have dipped and even doubled dipped, but the economy surrounding face and body aesthetics continue to relentlessly surge ever upwards. Some might describe it as a kind of ultimate <a title="Face Lift" href="/treatment/face-lift/" target="_blank" rel="noopener">Face Lift</a>?   One estimate I have seen is that the growth in demand for these kinds of procedures over the last ten years is roughly 500% across the Western World – but it has to be said that the largest engine to this growth still comes from the USA. Incidentally, these amazing growth statistics hint that if someone you know looks incredible for their age, then quite possibly they have had ‘work done. Admitting to aesthetic procedures remains an enormous taboo.   One issue that many of the doctors involved in this area buttonholed me to inquire about during the FACE conference, was the psychology of those seeking to improve their appearance. Many were anxious about how to ensure their patients were in the long run satisfied with whatever procedure they had sought. There was an acknowledgement that even though objectively there had been an improvement in physical appearance following the kind of procedures on offer at the FACE exhibition, oftentimes the emotional reaction was much more variable.
While the vast majority were delighted, there were some who appeared less enthusiastic, and a very small minority became disappointed.   The key contention in my talk at FACE 2010, and also in the conversations with many of the medical professionals I met during the Conference, is that psychology plays a pivotal role in the decision and successful execution of aesthetic improvement.

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I attended the fascinating FACE (Facial Aesthetic Conference and Exhibition) 2010 annual conference at the Royal College of Physicians in July, and was honoured to be asked to deliver the key note opening address. I was particularly thrilled, as I had the privilege of accepting a similar invitation a few years ago, when this series of successful annual Conferences was just beginning to get off the ground.   My talk arose out of my experience working in private practice in Harley St taking referrals from my medical colleagues to assist in improving the well being of patients they are working with. In this area of work I am not consulting with people who are psychiatrically unwell in any way, but more they are emotionally ambitious.   These are seeking to improve their appearance and usually they are also therefore interested in getting more out of life. They don’t blindly accept the hand of cards life has dealt them. They want to know how to get new cards, or how to play the ones they have better than before. A large group come to me as the first port of call because they want advice on how to select the best intervention and most appropriate professional for themselves.   It’s an area of my medical practice which has seen a veritable gush in referrals over recent times.   In the last few years economies may have dipped and even doubled dipped, but the economy surround face and body aesthetics, continues to relentlessly surge ever upwards. Some might describe it as a kind of ultimate Face Lift?   One estimate I have seen is that the growth in demand for these kinds of procedures over the last ten years is roughly 500% across the Western World – but it has to be said that the largest engine to this growth still comes from the USA. Incidentally, these amazing growth statistics hint that if someone you know looks incredible for their age, then quite possibly they have had ‘work done’. Admitting to aesthetic procedures remains an enormous taboo.   One issue that many of the doctors involved in this area buttonholed me to inquire about during the FACE conference, was the psychology of those seeking to improve their appearance. Many were anxious about how to ensure their patients were in the long run satisfied with whatever procedure they had sought. There was an acknowledgement that even although objectively there had been an improvement in physical appearance following the kind of procedures on offer at the FACE exhibition, often times the emotional reaction was much more variable.   While the vast majority were delighted, there were some who appeared less enthusiastic, and a very small minority became disappointed.   The key contention in my talk at FACE 2010, and also in the conversations with many of the medical professionals I met during the Conference, is that psychology plays a pivotal role in the decision and successful execution of aesthetic improvement.   For example, the life event that often prompts many, particularly women, to seek an intervention is some kind of recent relationship breakdown, most classically a divorce. It’s perfectly understandable in the blow to self-esteem and upset that follows this kind of terrible emotional upheaval that many women might seek an aesthetic intervention. This might make them feel better about themselves and give them the kind of confidence to ‘get back out there’ and seek a new relationship.   However, if this wider background context to why someone is seeking help with improving their looks is not fully grasped by the professional consulted, then disaster can follow. A woman might be disappointed following an otherwise helpful procedure, because unconsciously she was hoping it would deliver her estranged husband back. When this doesn’t always happen she could become devastated. She was however expecting the procedure to do more for her than was ever possible to deliver if she didn’t also produce some parallel psychological changes.   Indeed it’s possible for self-esteem to plummet even lower if expectations were not properly dealt with psychologically, as well as learning how to integrate a change in appearance into your overall life.   We know that aesthetic improvements can be enormously helpful in improving well being. However a key mechanism is that the improvement in appearance bolsters self-esteem and self-confidence, and it’s the consequent change in your interactions with the world at large, than in turn brings about longer term well being benefits.   The procedure, I’m afraid, can’t do all the work for you.   However if you properly harness the improvement in looks and take full advantage of it by also seizing the opportunity to change psychologically, then a positive spiral appears. You get positive feedback from others directly and indirectly about yourself and this in turn raises your self-esteem, and you end up feeling you look even better than you ever did.   So it’s entirely possible that if you also alter the way you think about yourself and others, alongside an improvement in looks, that the world becomes your oyster.

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