Editor's Correspondence |

Facial Plastic Surgical Outcomes and Clinical Depression

David Reiter, MD
Arch Facial Plast Surg. 2010;12(6):434-435. doi:10.1001/archfacial.2010.74.
Text Size: A A A
Published online


I greatly appreciate the work by Hessler et al1 recently reported in the Archives. However, I believe that their conclusion about a possible relationship between clinical depression and patient satisfaction with facial plastic surgical procedures is not supported by their data and could lead to ill-advised surgery. The broad spectrum of severity of depression and the diverse management methods used (eg, medication, electroconvulsive therapy, psychotherapy) make it imperative that the facial plastic surgeon has a complete history and a confirmed diagnosis before recommending treatment. One assumes that each patient in this study and in the authors' practices provided a complete medical history and received a physical examination, and that the nature, severity, and treatment of depression (and all other medical problems) were documented in the medical record. Unfortunately, the authors were “unable to corroborate the reports of patients of having a history of depression beyond their self-reported history. . . . ”1(pp195-196) The lack of a confirmed diagnosis invalidates any analysis, observations, or conclusions because the disease is not even known to be present.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles