Plastic surgery and psychotherapy in the treatment of 100 psychologically disturbed patients.

This paper reviews the senior author's long-term experience with the surgical-psychiatric treatment of 100 aesthetic surgery patients with significant psychological disturbances. Patients with psychological disturbances of a magnitude generally considered an "absolute contraindication" for surgery were operated on and later assessed to determine the psychological impact of surgery. Patient follow-up averaged 6.2 years (maximum follow-up 25.7 years). Of the 87 patients who underwent operation (7 patients were refused surgery and 6 voluntarily deferred surgery), 82.8 percent had a positive psychological outcome, 13.8 percent experienced "minimal" improvement from surgery, and 3.4 percent were negatively affected by surgery. There were no lawsuits, suicides, or psychotic decompensations. Patients with severe psychological disturbances frequently benefited from combined surgical-psychiatric treatment designed to address the patient's profound sense of deformity. This study suggests that plastic surgeons are "passing up" a significant number of patients who may be helped by combined surgical-psychological intervention.

Patients seeking symmetrical recontouring for "perceived" deformities in the width of the face and skull.

This article describes plastic surgery patients who sought symmetrical recontouring of the width of the face and skull. The basic demographic and personality characteristics of these facial width deformity (FWD) patients and the surgical procedures performed on them are discussed. Details of the surgical and psychological management of three representative cases are given. Speculative conclusions regarding the general characteristics of the FWD population are offered. Suggestions are proposed for a combined surgical-medical psychotherapeutic collaboration in managing these patients.

Copper supplementation of sheep.

The effect of 6 methods of copper supplementation on copper status was examined in Merino sheep at pasture. Plasma copper concentrations were not affected by any of the treatments. Liver copper concentrations in sheep given an oral dose of 3 g of oxidised copper wire particles were significantly greater than those of untreated sheep for the duration of the experiment of 80 weeks. Subcutaneous injections of 18 mg of copper as diethylamino cupro -oxyquinoline sulphonate produced small, transient increases in liver copper. Single oral doses of 150 mg of copper as copper sulphate or 30 mg of copper as copper oxychloride produced little or no detectable increase in liver copper. Liver copper concentrations of untreated sheep were lowest in winter, apparently associated with increased damage to the abomasum, as indicated by raised plasma pepsinogen activities.