How to ethically approach ‘Zoom dysmorphia’ in aesthetically-inclined patients

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The COVID-19 pandemic has led to an increase in cosmetic insecurities associated with working from home, a phenomenon known as “Zoom dysmorphia.” This term refers to the fixation on perceived flaws from staring at oneself in a computer screen reflection. Dermatologists have seen a rise in cosmetic consultations due to video conferencing, with patients seeking advice on procedures like neurotoxins, fillers, and laser skin resurfacing. However, dermatologists must be cautious in performing procedures on patients with mental health conditions, as it could exacerbate anxiety or depression. It is important for dermatologists to balance respecting patient autonomy with professional oaths to do no harm when addressing cosmetic concerns.

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