Aristotle said more than 2,000 years ago that “beauty is the best letter of introduction”. Indeed, looks are valued as the most direct medium of communication between people. There is no doubt that beauty plays a role in modeling, singing, talent competitions or job hunting. In this competitive society, the business and social value of beauty is increasingly valued. The great demand for beauty has pushed the rapid development of the cosmetic industry, especially in recent years, the crazy hype of “artificial beauty”, cosmetic surgery has become a fashion. Not only do women in show business want plastic surgery, people looking for jobs want plastic surgery, college students who have not graduated want plastic surgery, there are also 70-year-old women want breast implants, 3-year-old dolls do dimples phenomenon. Many beauty lovers have in addition to “acne”, double eyelids, nose job, breast augmentation, liposuction, pulling high ……, while a variety of disfiguring cases and lawsuits due to cosmetic surgery, cosmetic surgery industry can be described as the most lively. For cosmetic surgery, it is difficult for a psychiatrist to evaluate whether it is right or wrong, good or bad, and should be encouraged or prohibited, because there are many cases in both areas. Many people because of cosmetic surgery and confidence, mood, career and love double harvest; there are many people because of cosmetic surgery and disfigurement, regret for life, a stumble, and even on the road to extinction. In the face of the growing phenomenon of cosmetic surgery, should we pay attention to the psychological aspects related to cosmetic surgery? This article explores the psychological dynamics of cosmetic surgery from nine aspects, hoping to inspire all those who are concerned about cosmetic surgery. 1, in order to career and plastic surgery: a famous model spent hundreds of thousands of dollars for cosmetic surgery to become a beautiful “artificial beauty”. With the confidence of winning, she made it all the way to the final of the Miss Universe Intercontinental Contest one year and was among the top ten. She was disqualified from further participation because she was considered an “artificial beauty”, and she started a lawsuit with the contest organizing committee, and that was an afterthought. As a model, she chose plastic surgery to show her beauty as a profession, hoping to be more beautiful and better in her profession. If not beautiful, it is too difficult to mix in this industry. Like this famous model, many people choose plastic surgery for their careers and hobbies. One young man lost his pilot because of uneven teeth, and after a dental work, the next year, surprisingly, he got what he wanted. Excimer surgery for myopia has also made the dream of many people who want to become soldiers come true. 2, appearance defects There is a man with congenital ptosis of the upper eyelid, two eyes are not the same size, the upper eyelid of one eye can not be lifted, this eye will look small. He grew up with neighbors and classmates teasing him, and was so helpless that he was afraid to look up at other people’s eyes, and only when he looked down, his two eyes were the same size. Later, after an eye surgery at a hospital, this eyelid that had been sagging for more than 20 years surprisingly lifted up and both eyes looked symmetrical. This man was so happy that he slowly began to see eye to eye with others. Other cosmetic defects that require cosmetic surgery include slanted neck, harelip syndrome, facial blepharoplasty, and more. These people’s appearance defects affect their study, work and social activities, and they feel very low self-esteem, so cosmetic surgery can enhance self-confidence, improve mood and improve the quality of life. 3. Wrong attribution for failure: There is such a beauty seeker who is very slim, with a head of about 1.68 meters and a pretty good trim. She told the doctor that she wanted to make her look beautiful. The doctor surveyed her, and this face was quite good in terms of the whole contour and all the organs of the face, there was nothing wrong with it, it was a rare good looking beautiful face. So, why did she think she was not beautiful? After communication, the doctor finally understood that she had just broken up with her boyfriend. Her boyfriend had found a girl she thought was younger and prettier than her. She felt hurt and believed that her unattractiveness caused her boyfriend to abandon her, so she wanted to have plastic surgery to attract her “beloved” boyfriend back, or to make him regret that he would one day find out that he was still the same girlfriend. The girl did not attribute the change in the relationship to other aspects, such as her over-possession of her boyfriend, who was tied to her boyfriend 24 hours a day, so that he could not bear the weight of her love, perhaps a more important factor in his choice to leave. There was also a woman in her 30s who asked the plastic surgeon to raise her eyebrows and cheekbones, making the plastic surgeon laugh and cry. It turns out that the woman’s appearance is soft and delicate, her features are very clean, so the result of this cosmetic surgery will not make her more beautiful, but will affect her original beauty. After careful inquiry, she has been married for more than 8 years, her husband is a businessman, often out of social. A friend of the woman told her that her cheekbones and eyebrows were too low, and that such a face was too soft to control her husband, thus increasing the crisis of her marriage. She actually really believed it and made the decision to have plastic surgery for such an absurd reason. This woman bets the chips of her marriage entirely on her looks, ignoring other elements, which are naturally incomplete. There is a girl, 23 years old, born in Hangzhou, which is rich in ‘beauty’, yet not as beautiful as most girls in Hangzhou. But she grew up with good character and academic excellence, looking down on those girls who only know how to dress, she believes that a person’s inner beauty is the most important, so never for their own appearance inferior. Last May, facing graduation from college, for several days in a row, did not find a job as desired. Why repeatedly failed to find a job? She suddenly realized, is it because the image is not good? The more she looked in the mirror, the uglier she was, the more the belief that has always collapsed, for women, perhaps beauty is better than everything, including education, cultivation. In order to find a good job, the face “knife” what is not enough! The girl attributed her temporary failure to find a job to her poor appearance and ignored the other elements that make it difficult to find a job. There are many similar examples, such as the failure of interpersonal communication, the career, the frustration of marriage and love, etc. are attributed to their own appearance is not beautiful enough, not attractive, thus seeking plastic surgery. In fact, even if the plastic surgery, because it is the wrong attribution, the possibility of changing the fate of failure is still relatively small. 4, in the face of other people’s ridicule, criticism, non-acceptance and other negative evaluation of their own appearance is not well adjusted psychologically, that is, others say I do not look good, I do not look good, which is an immature self-evaluation of the mentality. Xiao Li (a pseudonym) just graduated from college and attended a unit interview, an examiner said that all aspects are excellent, but the altitude is a little low, in fact, Xiao Li’s net height is 1.58 meters, wearing shoes can certainly exceed 1.60 meters. Thankfully, Xiao Li was still accepted. But Xiao Li was not happy because she was accepted, but fell into extreme dissatisfaction with her own height, after going to work, less talkative, sullen, full of thoughts that she was too short. One day when I was reading the newspaper, I suddenly saw a bright light and the words “Surgery to increase height, refundable! The words “Surgery to increase height, refundable!” caught my eyes. This surgery can definitely make me taller! The bones in her legs were truncated and separated; the bone cells differentiated and proliferated; the broken bones healed; and she “grew” 4 centimeters taller! She reached a net height of 1.62 meters! Xiao Li put on her new long size pants and excitedly ran to work, but unfortunately, she took too much time off work and was replaced by someone else. Xiao Li lifted up her long size pants, the long scar on her leg was still obvious, suffered the pain, got the scar, lost the job, Xiao Li’s tears swished down …… In fact, this story is heartbreaking and a little bit funny, Xiao Li was not hired because of her lack of height, nor was she not fired because of her increased height There are other factors that are more important than body size that play a role in one’s job opportunities, but Lori didn’t notice. She did not make reasonable processing of the information conveyed to her by others, and her mentality was not well adjusted, which naturally resulted in losing her job and breaking her leg. 5, inferiority complex formed during the process of growing up Liu Jing (a pseudonym) is a student of an art college, although the talent is not worse than others, but in this school of beauty, some fat she always felt short. Liposuction, breast augmentation …… After a series of cosmetic surgery, Liu Jing felt that others still looked down on her, at which point she thought of having another facelift. Sitting in the consultation room, Liu Jing always kept her head down. “Can you lift your head up a little?” The doctor asked. But Liu Jing buried her head even lower, rubbing her hands on her pants: “I’m ugly!” Without waiting for the doctor to continue the question, tears were already pouring out of her eyes. She tried to control her emotions, “When I was little, every New Year’s Eve, my sister-in-law would take pictures of us kids with his camera, but every time it was my turn, he said I was too fat and didn’t give me a picture.” That’s too bad! Adults say such words as if ice knives cut on Liu Jing’s fragile heart, so that she grew up with an inferiority complex about her appearance. The more lacking something, the more people desire something, the more inferior they are. Liu Jing, who “lacked” beauty, needed beauty too much, and she needed others’ recognition of her looks too much. She pinned her hopes on cosmetic surgery, which might be of some help to her in regaining her confidence in her looks, but how much? Her young heart that was once hurt, her deep-seated low self-esteem is more in need of psychological help? 6, anorexia patients There is an 18-year-old youthful girl, Xiao Qiao (a pseudonym), 177 cm tall, weighing 50 kg. Believing that her body shape is not showy and slim enough, she began to diet, eating only one or two apples or bananas every day, drinking some water, and being forced by her parents to eat a little bit of rice, while later running to the bathroom to spit out what she had eaten again. The effect is obvious, two months time weight loss 15 pounds, yellow face, dry skin, thinning hair, menstruation is not coming, Xiao Qiao looked at himself in the mirror, shaking his head in frustration, “still have to reduce, this method is too slow!” The same day, Xiao Qiao inquired about a beauty salon liposuction technology is excellent, it decided to take a faster means of weight loss. Obviously, Xiao Qiao suffers from anorexia, she has a pathological viewpoint and requirements for her own body shape, no matter how the weight loss and cosmetic surgery, but also can not meet her psychological needs for her own body shape. If she encounters an irresponsible cosmetic surgeon, it is not only Xiao Qiao who will suffer, but also the cosmetic surgeon, because even if his skills are skillful, it will not be possible to achieve Xiao Qiao’s satisfaction. What Xiao Qiao really needs is the help of psychiatry, through psychotherapy and other medical help, to gain a new understanding of their own body shape, so that Xiao Qiao can really “slim” up. 7, body dysmorphic disorder There is a 27-year-old guy, nearly a year or two always feel their nose grows crooked, detrimental to its handsome image, afraid to see people, although friends around him did not find his nose “crooked”, he defied his family, in a hospital before and after four cosmetic surgery, a total of more than 70,000 yuan, nose always Now he still watches his “crooked” nose in the mirror countless times a day, very angry, ready to take the plastic surgery hospital to court, the plastic surgery hospital is also helpless, how to see how the nose is correct, not crooked at all. I don’t know how the cosmetic surgeon viewed his nose before the first cosmetic surgery. The guy who feels his nose is “crooked” is actually suffering from somatic deformation disorder, which makes a normal nose feel crooked in a morbid way. This is a psychological or mental problem, not a nose problem, so no matter how to fix the nose, it does not seem to help. Heart disease also needs heart medicine, cosmetic surgeons face such special beauty lovers better not to move the knife for good. 8, the pursuit of perfectionist character performance There is a 36-year-old beautiful lady suddenly found one day on their clean, snow-white cheeks appeared a black spot, a closer look, is a black spot. The lady panicked at once, her heart thumped. Mentally muttered: “This is the end, beautiful women have become ugly ducklings.” She was depressed about this for two months, “No, definitely not, I want to eliminate it!” She began to inquire about cosmetic surgery, hoping to nip this black guy in the bud through cosmetic surgery. Why is she so intolerant of a black spot on her face? It turns out that this woman is extraordinarily strict with people and herself, doing things in pursuit of perfection, is a typical perfectionist. With the growth of age, various moles, freckles, wrinkles may slowly creep onto the face, for a perfectionist, this means some kind of imperfection, is unacceptable, prompting them to join the team of plastic surgery. 9, plastic surgery addiction 25-year-old Lili (a pseudonym) is a plastic surgery hospital “regular”, a year ago she underwent jaw surgery, in the cheekbone on both sides of the steel nails to make up for the shortcomings of the chin too protruding. I didn’t expect the chin to be straight, but the nose didn’t look high enough, so Lili came to the consultation five times, intending to do the “matching” surgery again. The doctor thought her face shape was not suitable for this surgery and tried to advise her to give up. But she was reluctant, and as she was leaving, she mumbled, “I have to go to other hospitals for consultation, to make sure my features are perfect. ……” The good-looking Xiao Xie (a pseudonym) sat in the clinic for two hours, pestering the doctor to do the inner eye angle expansion surgery for her. The 28-year-old had a liposuction a few months ago and was satisfied with the post-operative results, so she gave herself a “cosmetic list”: first surgery to expand the inner corner of her eyes, then Botox injections to reduce her bite muscle, and also to remove her facial freckles …… Doctors advised her Do not risk so many surgeries and refused to open surgery, but Xiao Xie said, “No matter how serious the sequelae, I must try!” These two ladies have tasted the sweetness of cosmetic surgery and then asked for “icing on the cake” one after another, beware! They may be suffering from plastic surgery addiction. One woman did double eyelid surgery, and feel bad nose, then do rhinoplasty, chin …… later, even in order to wear beautiful sandals, through surgery to repair the foot bone, like this cosmetic addiction has been not uncommon. The repeated cosmetic surgery will undoubtedly make these beauty lovers fall deeper and deeper in the process of finding beauty. This article summarizes the above nine types of psychological motivation for cosmetic surgery from the cosmetic surgeons contacted in clinical counseling. Of course, the psychology of cosmetic surgery is very complex and is by no means limited to what is described in this article. Each person’s psychological motivation to seek cosmetic surgery is different, and a single cosmetic surgery behavior may have several psychological motivations at play at the same time. This requires each person seeking cosmetic surgery, and each cosmetic surgeon, to focus on the cosmetic surgeon’s reasons for cosmetic surgery, rather than focusing on the how. Those beauty lovers who wish to change their appearance through cosmetic surgery, before deciding to have a facelift, look inside themselves and ask themselves the question, “Why do you want a facelift?” Think about it, think accurately, and then go to plastic surgery; perhaps, you will find that what you need is not plastic surgery at all, but psychological adjustment, or need to go to a psychologist for a psychological facelift. It is understood that the first hurdle in foreign clinical cosmetic clinics is the contact between the applicant and the psychologist to determine whether the need for revision is cosmetic or psychological, in China, there is a lack of this procedure. Faced with all kinds of beauty seekers, cosmetic surgeons should be alert to the fact that cosmetic surgery is not a panacea, and even if the cosmetic surgery is beautiful, it may not be what the customer really needs. This requires the cosmetic surgeon to have some knowledge of psychology related to cosmetic surgery to screen out the customers who really need it. For those who need psychological help, if the cosmetic surgery, not only to bring them the pain of knife and shear, but also simply does not meet their needs, but also to the cosmetic surgeon himself into trouble.