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In aesthetic surgeries

We are going to talk about the process of psychoprophylaxis, what’s it? And how’s it performed for specific and general cosmetic surgeries? This work will be done in a personalized way for each patient and taking into account the surgeon’s considerations.

01. Fundamentation

In the present cosmetic surgeries are very relevant, not only for celebrities or people who are constantly under the pression of public eye, but also for all those people who wish to change something of their body to “feel better”.

02. What is it?

Surgical psychoprophylaxis is the psychotherapeutic process with preventive objectives, planned to promote the affective, cognitive, interactional and behavioral functioning of the patient, providing a comprehensive service in which all aspects of the patient as a human being are taken into account. The process is made before and after the surgery with the objective of avoiding psychic damage in mentally healthy people.
In order to reach this goal, we work with expectations, anxieties, fears, ideas, stress, during the whole surgical process (pre-surgical and post-surgical moments).

03. Objectives
  • Promote and accompany surgeons with patients, from the beginning to the end of the process.
  • Prepare patients emotionally and psychologically for the time of  surgery and for the postoperative period.
  • Prevent psychological damage.
  • Facilitate the biopsychosocial recovery of the patient.
04. Benefits
  • Lower degree of anxiety.
  • Lower risk of postoperative complications.
  • Lower intra- and post-surgical risk.
  • Decreased chances of developing psychosocial problems.
  • Reduction of collateral psychological symptoms (insomnia, phobias, irritability, depression, etc.).
  • Decreases negative symptoms such as heart rhythm alterations, feverish states, headaches, etc.
  • Better recovery process.
  • Facilitates the healing process.
  • Improved pain tolerance.
  • Helps to reduce medication.
  • Helps the surgical experience not become traumatic.
  • Brings the patient as close as possible to a realistic presentation of the surgery.
  • Increases their ability to face surgical situations.
  • Increases the patient’s quality of life.
05. Methodology

This project is aimed at patients of legal age who wish to do cosmetic surgery. In order to achieve the different objectives, the process is divided into 2 phases: preoperative and postoperative.


Have a work plan is fundamental, this must be adapted to the individualities and needs of each patient, establishing the objectives and techniques to be used for each case. The techniques to be used may change depending on the type of surgery and the patient’s expectations. With the goal of providing a service that is more in line with today’s patients.

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06. Preoperative

It’ll consist of 3 interviews, minimum, (with the patient’s consent can be extended to the number of interviews that they considers necessary to achieve the objectives) in which will be explored:

  • Anamnesis of the patient’s emotional history as the basis for his or her specific need for cosmetic surgery of his or her body.
  • Awareness of the patient’s self-esteem levels.
  • Prophylaxis of the dissociation of the expected aesthetic result with the personal degree of self-esteem.
  • De-idealization of the expected results of the surgery.

Self-confidence is
the secret of success.

Ralph Waldo Emerson

Awareness of the “possible surgery” according to the reality of them’s own body:

  • Help and assistance in the acceptance of themself and them’s own body.
  • Awareness of the post-operative times necessary for the perception of the final result of the surgery: the result is not instantaneous! Recovery takes long periods of time depending on the type of surgery performed.
  • Real and deep psychological incorporation of the risks involved in the surgery, such as the risk of life or that there is no ABSOLUTE guarantee on the results.
  • Exhaustive analysis, with the patient, of all aspects of the “fine print” of the surgical contract and the conscious and responsible acceptance of the same.
07. Postoperative

The minimum number of sessions is 2, however it’s always possible that the patient may choose to extend the process:

  • Prophylaxis of surgery as an addiction.
  • Treatment and prevention of any body dysmorphic disorder.
  • Treatment of low self-esteem as a basis for body dysmorphia.
  • Detection of underlying depressions that hinder a correct self-esteem and acceptance of them’s own body.

Benefits for the
cosmetic surgeon

This process incorporates obvious benefits for the Cosmetic Surgery Clinic and for the surgeon.

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01. Increase the patient satisfaction

The moderation of expectations, previous psychological pathologies and the exhaustive preparation, at all levels, of the patient is not a job of the plastic surgeon. Such work performed by specialists radically modifies the self-perception and realistic satisfaction with the results obtained. This results in a more satisfied patient, if we compare the same patient, with the same results, without this preparation.

  • Early detection of the patient’s psychological state that will necessarily impact in the perception of the surgery as an outcome. The pathologies to be detected are:
  • Dysmorphophobia (dysmorphia plus a profound repulsion of some “defect” [characteristic perceived as such] or of the totality of them’s own image, to the point of describing oneself as “deformed” or “monstrous”).
  • Severe codependence on social acceptance (Attempt of irrational assimilation, through surgery, to an unattainable social aesthetic model).
  • Underlying traumas and inferiority complexes.
  • Low self-esteem.
    02. Early detection of people unsuitable for surgery
    • People who seek a radical change in their image absolutely out of the real.
    • Those people with a highly distorted image of themselves based on a single aspect of their physique.
    • People who, because of their youth, still have physical aspects to develop.
    • Impulsive people or people with a tendency to recklessness and to make poorly reasoned decisions or decisions taken under the influence of third parties, who can be totally fickle, regardless of the outcome of the surgery.
    • People sensitive to rejection who make the decision to undergo cosmetic surgery based on external opinions, with no connection to themselves or their own needs.
    • People who are socially maladjusted and who have persuaded themselves that personal aesthetics will absolutely generate social relevance or that they will gain social skills after the intervention.
    • People addicted to any type of drug, which may seriously diminish their own willfulness or adequate self-perception.
    • Patients victims of any psychotic pathology and/or severe personality disorders.
    • Early detection of the “querulant*” patient and of the risk of legal action against the surgeon and/or vindictive actions.

    *Querulante is the patient who suffers from paranoid delusions that lead the person to feel offended and to have the need to demand reparation for the injustices or damages that he/she believes to have suffered.

    • This need for reparation, in the least of the cases can be manifested by means of legal actions.
    • In the worst case, it can be vindictive, i.e. through direct revenge by means of vigilante justice.
    • Therefore, we will offer the surgeon an early and timely warning of the risks that such a patient entails. By means of an assessment expressed in: High risk, some risk, no risk.
    • Preparation of a psychological report with the characteristics of a psychodiagnosis (not formally a psychodiagnosis) so that the surgeon has all the information he needs about his patient at the time of surgery.


    We want to offer the surgeon a process of therapeutic-prophylactic accompaniment in which the patient ends up in love with their result in a stable way in time, because the foundations of the relationship with their surgery are healthy and have served him for his full development as a person. This is our goal, our “mission”, which includes, incorporates and entails all the benefits listed above: “the total and holistic fullness of the person”.

    O Either you make people fall in love or you are cheap.

    Marketing Specialist
    Victor Küppers

    I am the leader of InAltum, an online clinic, which we wanted to call «self-improvement» to be closer to the hope of growth, rather than pathology.

    My background is very diverse and beyond academics (five master’s degrees) I am passionate about continuing to learn EVERYTHING.

    Each person is a wonderful unique learning journey that requires our full attention.

    In that spirit we have developed this prophylactic method of helping the cosmetic surgery patient, with wich we have achieved the fullness of their inner esteem in tune with a satisfactory outward appearance.

    Let us to help your patients and we can guarantee that they will be grateful to you, because you did not simply help them to change an aesthetic aspect of their body, but to integrate that change into a healthy and fulfilled identity.

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