D11. The Impact of Psychiatric Comorbidities on Outcomes and Quality of Life in Plastic Surgery Patients

PURPOSE: Psychiatric comorbidities, such as depression and anxiety, can impact outcomes in plastic surgery, a field deeply intertwined with body image and self-perception. The authors examined how these factors influence results in common plastic surgical procedures. METHODS: A retrospective review was conducted from 2016-2022 of patients with/without psychiatric comorbidities undergoing breast reduction and body contouring (panniculectomy and/or abdominoplasty). Psychiatric comorbidities included all mental disorders within DSM-5-TR. Propensity-score matching considered age, BMI, ethnicity, bariatric surgery history, ptosis, and breast tissue mass. We compared patient demographics, clinical attributes, and postoperative details. Quality of life (QoL) changes were measured using pre- and postoperative BREAST-Q and BODY-Q. RESULTS: Of 554 patients, 194 were in the body contouring cohort (97 each with and without psychiatric issues) and 360 in the breast reduction cohort (180 each). The body contouring group averaged 47 years, BMI of 31.2, with psychiatric comorbidity linked to increased surgical site occurrence (SSO) and length of stay (LOS)(p <0.05). After adjusting for several factors, psychiatric comorbidity independently predicted increased SSO (AOR 3.02, p <0.05) and LOS (AOR 1.73, p< 0.05). The breast reduction cohort averaged 36 years and BMI 29.71, had psychiatric comorbidity linked with more readmissions and ED visits (p<0.05), and independently predicted ED visits (AOR 4.86, p<0.05). Both groups showed enhanced postoperative QoL, regardless of psychiatric status. CONCLUSION: Psychiatric comorbidities impact postoperative outcomes in elective plastic surgery, affecting complications and healthcare utilization. Despite this, postoperative QoL improvement is evident, emphasizing the need for tailored patient care/counseling to ensure safety and satisfaction.