Self-reported Patient Motivations for Seeking Cosmetic Procedures

Amanda Maisel, Abigail Waldman, Karina Furlan, Alexandra Weil, Kaitlyn Sacotte, Jake M. Lazaroff, Katherine Lin, Diana Aranzazu, Mathew M. Avram, Ashley Bell, Todd Cartee, Alex Cazzaniga, Anne Chapas, Milene K. Crispin, Jennifer A. Croix, Catherine M. Digiorgio, Jeffrey S. Dover, David J. Goldberg, Mitchel P. Goldman, Jeremy B. Green & 18 others Charmaine L. Griffin, Adele D. Haimovic, Amelia K. Hausauer, Shannon L. Hernandez, Sarah Hsu, Omer Ibrahim, Derek H. Jones, Joely Kaufman, Suzanne L. Kilmer, Nicole Y. Lee, David H. McDaniel, Joel Schlessinger, Elizabeth Tanzi, Eduardo T. Weiss, Robert A. Weiss, Douglas Wu, Emily Poon, Murad Alam

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Importance: Despite the growing popularity of cosmetic procedures, the sociocultural and quality-of-life factors that motivate patients to undergo such procedures are not well understood. Objective: To estimate the relative importance of factors that motivate patients to seek minimally invasive cosmetic procedures. Design, Setting, and Participants: This prospective, multicenter observational study was performed at 2 academic and 11 private dermatology practice sites that represented all US geographic regions. Adult patients presenting for cosmetic consultation or treatment from December 4, 2016, through August 9, 2017, were eligible for participation. Exposures: Participants completed a survey instrument based on a recently developed subjective framework of motivations and a demographic questionnaire. Main Outcomes and Measures: Primary outcomes were the self-reported most common motivations in each quality-of-life category. Secondary outcomes were other frequently reported motivations and those associated with specific procedures. Results: Of 529 eligible patients, 511 agreed to participate, were enrolled, and completed the survey. Typical respondents were female (440 [86.1%]), 45 years or older (286 [56.0%]), white (386 [75.5%]), and college educated (469 [91.8%]) and had previously received at least 2 cosmetic procedures (270 [52.8%]). Apart from motivations pertaining to aesthetic appearance, including the desire for beautiful skin and a youthful, attractive appearance, motives related to physical health, such as preventing worsening of condition or symptoms (253 of 475 [53.3%]), and psychosocial well-being, such as the desire to feel happier and more confident or improve total quality of life (314 of 467 [67.2%]), treat oneself or celebrate (284 of 463 [61.3%]), and look good professionally (261 of 476 [54.8%]) were commonly reported. Motivations related to cost and convenience were rated as less important (68 of 483 [14.1%]). Most motivations were internally generated, designed to please the patients and not others, with patients making the decision to undergo cosmetic procedures themselves and spouses seldom being influential. Patients younger than 45 years were more likely to undertake procedures to prevent aging (54 of 212 [25.5%] vs 42 of 286 [14.7%] among patients ≥45 years; P <.001). Patients seeking certain procedures, such as body contouring (19 of 22 [86.4%]), acne scar treatment (36 of 42 [85.7%]), and tattoo removal (8 of 11 [72.7%]), were more likely to report psychological and emotional motivations. Conclusions and Relevance: This initial prospective, multicenter study comprehensively assessed why patients seek minimally invasive cosmetic procedures. Common reasons included emotional, psychological, and practical motivations in addition to the desire to enhance physical appearance. Differences relative to patient age and procedures sought may need further exploration.

Original languageEnglish (US)
Pages (from-to)1167-1174
Number of pages8
JournalJAMA Dermatology
Volume154
Issue number10
DOIs
StatePublished - Oct 1 2018

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Cosmetics
Motivation
Quality of Life
Multicenter Studies
Psychology
Private Practice
Acne Vulgaris
Dermatology
Spouses
Esthetics
Cicatrix
Observational Studies
Decision Making
Referral and Consultation
Demography
Outcome Assessment (Health Care)
Prospective Studies
Costs and Cost Analysis
Skin
Surveys and Questionnaires

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

Maisel, A., Waldman, A., Furlan, K., Weil, A., Sacotte, K., Lazaroff, J. M., ... Alam, M. (2018). Self-reported Patient Motivations for Seeking Cosmetic Procedures. JAMA Dermatology, 154(10), 1167-1174. https://doi.org/10.1001/jamadermatol.2018.2357
Maisel, Amanda ; Waldman, Abigail ; Furlan, Karina ; Weil, Alexandra ; Sacotte, Kaitlyn ; Lazaroff, Jake M. ; Lin, Katherine ; Aranzazu, Diana ; Avram, Mathew M. ; Bell, Ashley ; Cartee, Todd ; Cazzaniga, Alex ; Chapas, Anne ; Crispin, Milene K. ; Croix, Jennifer A. ; Digiorgio, Catherine M. ; Dover, Jeffrey S. ; Goldberg, David J. ; Goldman, Mitchel P. ; Green, Jeremy B. ; Griffin, Charmaine L. ; Haimovic, Adele D. ; Hausauer, Amelia K. ; Hernandez, Shannon L. ; Hsu, Sarah ; Ibrahim, Omer ; Jones, Derek H. ; Kaufman, Joely ; Kilmer, Suzanne L. ; Lee, Nicole Y. ; McDaniel, David H. ; Schlessinger, Joel ; Tanzi, Elizabeth ; Weiss, Eduardo T. ; Weiss, Robert A. ; Wu, Douglas ; Poon, Emily ; Alam, Murad. / Self-reported Patient Motivations for Seeking Cosmetic Procedures. In: JAMA Dermatology. 2018 ; Vol. 154, No. 10. pp. 1167-1174.
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abstract = "Importance: Despite the growing popularity of cosmetic procedures, the sociocultural and quality-of-life factors that motivate patients to undergo such procedures are not well understood. Objective: To estimate the relative importance of factors that motivate patients to seek minimally invasive cosmetic procedures. Design, Setting, and Participants: This prospective, multicenter observational study was performed at 2 academic and 11 private dermatology practice sites that represented all US geographic regions. Adult patients presenting for cosmetic consultation or treatment from December 4, 2016, through August 9, 2017, were eligible for participation. Exposures: Participants completed a survey instrument based on a recently developed subjective framework of motivations and a demographic questionnaire. Main Outcomes and Measures: Primary outcomes were the self-reported most common motivations in each quality-of-life category. Secondary outcomes were other frequently reported motivations and those associated with specific procedures. Results: Of 529 eligible patients, 511 agreed to participate, were enrolled, and completed the survey. Typical respondents were female (440 [86.1{\%}]), 45 years or older (286 [56.0{\%}]), white (386 [75.5{\%}]), and college educated (469 [91.8{\%}]) and had previously received at least 2 cosmetic procedures (270 [52.8{\%}]). Apart from motivations pertaining to aesthetic appearance, including the desire for beautiful skin and a youthful, attractive appearance, motives related to physical health, such as preventing worsening of condition or symptoms (253 of 475 [53.3{\%}]), and psychosocial well-being, such as the desire to feel happier and more confident or improve total quality of life (314 of 467 [67.2{\%}]), treat oneself or celebrate (284 of 463 [61.3{\%}]), and look good professionally (261 of 476 [54.8{\%}]) were commonly reported. Motivations related to cost and convenience were rated as less important (68 of 483 [14.1{\%}]). Most motivations were internally generated, designed to please the patients and not others, with patients making the decision to undergo cosmetic procedures themselves and spouses seldom being influential. Patients younger than 45 years were more likely to undertake procedures to prevent aging (54 of 212 [25.5{\%}] vs 42 of 286 [14.7{\%}] among patients ≥45 years; P <.001). Patients seeking certain procedures, such as body contouring (19 of 22 [86.4{\%}]), acne scar treatment (36 of 42 [85.7{\%}]), and tattoo removal (8 of 11 [72.7{\%}]), were more likely to report psychological and emotional motivations. Conclusions and Relevance: This initial prospective, multicenter study comprehensively assessed why patients seek minimally invasive cosmetic procedures. Common reasons included emotional, psychological, and practical motivations in addition to the desire to enhance physical appearance. Differences relative to patient age and procedures sought may need further exploration.",
author = "Amanda Maisel and Abigail Waldman and Karina Furlan and Alexandra Weil and Kaitlyn Sacotte and Lazaroff, {Jake M.} and Katherine Lin and Diana Aranzazu and Avram, {Mathew M.} and Ashley Bell and Todd Cartee and Alex Cazzaniga and Anne Chapas and Crispin, {Milene K.} and Croix, {Jennifer A.} and Digiorgio, {Catherine M.} and Dover, {Jeffrey S.} and Goldberg, {David J.} and Goldman, {Mitchel P.} and Green, {Jeremy B.} and Griffin, {Charmaine L.} and Haimovic, {Adele D.} and Hausauer, {Amelia K.} and Hernandez, {Shannon L.} and Sarah Hsu and Omer Ibrahim and Jones, {Derek H.} and Joely Kaufman and Kilmer, {Suzanne L.} and Lee, {Nicole Y.} and McDaniel, {David H.} and Joel Schlessinger and Elizabeth Tanzi and Weiss, {Eduardo T.} and Weiss, {Robert A.} and Douglas Wu and Emily Poon and Murad Alam",
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Maisel, A, Waldman, A, Furlan, K, Weil, A, Sacotte, K, Lazaroff, JM, Lin, K, Aranzazu, D, Avram, MM, Bell, A, Cartee, T, Cazzaniga, A, Chapas, A, Crispin, MK, Croix, JA, Digiorgio, CM, Dover, JS, Goldberg, DJ, Goldman, MP, Green, JB, Griffin, CL, Haimovic, AD, Hausauer, AK, Hernandez, SL, Hsu, S, Ibrahim, O, Jones, DH, Kaufman, J, Kilmer, SL, Lee, NY, McDaniel, DH, Schlessinger, J, Tanzi, E, Weiss, ET, Weiss, RA, Wu, D, Poon, E & Alam, M 2018, 'Self-reported Patient Motivations for Seeking Cosmetic Procedures', JAMA Dermatology, vol. 154, no. 10, pp. 1167-1174. https://doi.org/10.1001/jamadermatol.2018.2357

Self-reported Patient Motivations for Seeking Cosmetic Procedures. / Maisel, Amanda; Waldman, Abigail; Furlan, Karina; Weil, Alexandra; Sacotte, Kaitlyn; Lazaroff, Jake M.; Lin, Katherine; Aranzazu, Diana; Avram, Mathew M.; Bell, Ashley; Cartee, Todd; Cazzaniga, Alex; Chapas, Anne; Crispin, Milene K.; Croix, Jennifer A.; Digiorgio, Catherine M.; Dover, Jeffrey S.; Goldberg, David J.; Goldman, Mitchel P.; Green, Jeremy B.; Griffin, Charmaine L.; Haimovic, Adele D.; Hausauer, Amelia K.; Hernandez, Shannon L.; Hsu, Sarah; Ibrahim, Omer; Jones, Derek H.; Kaufman, Joely; Kilmer, Suzanne L.; Lee, Nicole Y.; McDaniel, David H.; Schlessinger, Joel; Tanzi, Elizabeth; Weiss, Eduardo T.; Weiss, Robert A.; Wu, Douglas; Poon, Emily; Alam, Murad.

In: JAMA Dermatology, Vol. 154, No. 10, 01.10.2018, p. 1167-1174.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Self-reported Patient Motivations for Seeking Cosmetic Procedures

AU - Maisel, Amanda

AU - Waldman, Abigail

AU - Furlan, Karina

AU - Weil, Alexandra

AU - Sacotte, Kaitlyn

AU - Lazaroff, Jake M.

AU - Lin, Katherine

AU - Aranzazu, Diana

AU - Avram, Mathew M.

AU - Bell, Ashley

AU - Cartee, Todd

AU - Cazzaniga, Alex

AU - Chapas, Anne

AU - Crispin, Milene K.

AU - Croix, Jennifer A.

AU - Digiorgio, Catherine M.

AU - Dover, Jeffrey S.

AU - Goldberg, David J.

AU - Goldman, Mitchel P.

AU - Green, Jeremy B.

AU - Griffin, Charmaine L.

AU - Haimovic, Adele D.

AU - Hausauer, Amelia K.

AU - Hernandez, Shannon L.

AU - Hsu, Sarah

AU - Ibrahim, Omer

AU - Jones, Derek H.

AU - Kaufman, Joely

AU - Kilmer, Suzanne L.

AU - Lee, Nicole Y.

AU - McDaniel, David H.

AU - Schlessinger, Joel

AU - Tanzi, Elizabeth

AU - Weiss, Eduardo T.

AU - Weiss, Robert A.

AU - Wu, Douglas

AU - Poon, Emily

AU - Alam, Murad

PY - 2018/10/1

Y1 - 2018/10/1

N2 - Importance: Despite the growing popularity of cosmetic procedures, the sociocultural and quality-of-life factors that motivate patients to undergo such procedures are not well understood. Objective: To estimate the relative importance of factors that motivate patients to seek minimally invasive cosmetic procedures. Design, Setting, and Participants: This prospective, multicenter observational study was performed at 2 academic and 11 private dermatology practice sites that represented all US geographic regions. Adult patients presenting for cosmetic consultation or treatment from December 4, 2016, through August 9, 2017, were eligible for participation. Exposures: Participants completed a survey instrument based on a recently developed subjective framework of motivations and a demographic questionnaire. Main Outcomes and Measures: Primary outcomes were the self-reported most common motivations in each quality-of-life category. Secondary outcomes were other frequently reported motivations and those associated with specific procedures. Results: Of 529 eligible patients, 511 agreed to participate, were enrolled, and completed the survey. Typical respondents were female (440 [86.1%]), 45 years or older (286 [56.0%]), white (386 [75.5%]), and college educated (469 [91.8%]) and had previously received at least 2 cosmetic procedures (270 [52.8%]). Apart from motivations pertaining to aesthetic appearance, including the desire for beautiful skin and a youthful, attractive appearance, motives related to physical health, such as preventing worsening of condition or symptoms (253 of 475 [53.3%]), and psychosocial well-being, such as the desire to feel happier and more confident or improve total quality of life (314 of 467 [67.2%]), treat oneself or celebrate (284 of 463 [61.3%]), and look good professionally (261 of 476 [54.8%]) were commonly reported. Motivations related to cost and convenience were rated as less important (68 of 483 [14.1%]). Most motivations were internally generated, designed to please the patients and not others, with patients making the decision to undergo cosmetic procedures themselves and spouses seldom being influential. Patients younger than 45 years were more likely to undertake procedures to prevent aging (54 of 212 [25.5%] vs 42 of 286 [14.7%] among patients ≥45 years; P <.001). Patients seeking certain procedures, such as body contouring (19 of 22 [86.4%]), acne scar treatment (36 of 42 [85.7%]), and tattoo removal (8 of 11 [72.7%]), were more likely to report psychological and emotional motivations. Conclusions and Relevance: This initial prospective, multicenter study comprehensively assessed why patients seek minimally invasive cosmetic procedures. Common reasons included emotional, psychological, and practical motivations in addition to the desire to enhance physical appearance. Differences relative to patient age and procedures sought may need further exploration.

AB - Importance: Despite the growing popularity of cosmetic procedures, the sociocultural and quality-of-life factors that motivate patients to undergo such procedures are not well understood. Objective: To estimate the relative importance of factors that motivate patients to seek minimally invasive cosmetic procedures. Design, Setting, and Participants: This prospective, multicenter observational study was performed at 2 academic and 11 private dermatology practice sites that represented all US geographic regions. Adult patients presenting for cosmetic consultation or treatment from December 4, 2016, through August 9, 2017, were eligible for participation. Exposures: Participants completed a survey instrument based on a recently developed subjective framework of motivations and a demographic questionnaire. Main Outcomes and Measures: Primary outcomes were the self-reported most common motivations in each quality-of-life category. Secondary outcomes were other frequently reported motivations and those associated with specific procedures. Results: Of 529 eligible patients, 511 agreed to participate, were enrolled, and completed the survey. Typical respondents were female (440 [86.1%]), 45 years or older (286 [56.0%]), white (386 [75.5%]), and college educated (469 [91.8%]) and had previously received at least 2 cosmetic procedures (270 [52.8%]). Apart from motivations pertaining to aesthetic appearance, including the desire for beautiful skin and a youthful, attractive appearance, motives related to physical health, such as preventing worsening of condition or symptoms (253 of 475 [53.3%]), and psychosocial well-being, such as the desire to feel happier and more confident or improve total quality of life (314 of 467 [67.2%]), treat oneself or celebrate (284 of 463 [61.3%]), and look good professionally (261 of 476 [54.8%]) were commonly reported. Motivations related to cost and convenience were rated as less important (68 of 483 [14.1%]). Most motivations were internally generated, designed to please the patients and not others, with patients making the decision to undergo cosmetic procedures themselves and spouses seldom being influential. Patients younger than 45 years were more likely to undertake procedures to prevent aging (54 of 212 [25.5%] vs 42 of 286 [14.7%] among patients ≥45 years; P <.001). Patients seeking certain procedures, such as body contouring (19 of 22 [86.4%]), acne scar treatment (36 of 42 [85.7%]), and tattoo removal (8 of 11 [72.7%]), were more likely to report psychological and emotional motivations. Conclusions and Relevance: This initial prospective, multicenter study comprehensively assessed why patients seek minimally invasive cosmetic procedures. Common reasons included emotional, psychological, and practical motivations in addition to the desire to enhance physical appearance. Differences relative to patient age and procedures sought may need further exploration.

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DO - 10.1001/jamadermatol.2018.2357

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Maisel A, Waldman A, Furlan K, Weil A, Sacotte K, Lazaroff JM et al. Self-reported Patient Motivations for Seeking Cosmetic Procedures. JAMA Dermatology. 2018 Oct 1;154(10):1167-1174. https://doi.org/10.1001/jamadermatol.2018.2357