Mental Health in Aesthetics


Book a 45 minute consultation securely with us though our Phorest system.

by | Mar 11, 2023

Can I reverse the signs of ageing: Perception or problem?

I’ve just attended some training with a psychiatrist, who is an expert in mental health in the aesthetics industry. I’m blown away to hear the fact that of those of us who have aesthetic treatments, 50% suffer from some form of diagnosable psychiatric disorder. 

That’s HUGE… and SCARY!

Now before you make any judgement, remember that we live in strange times and that our modern-day lifestyles mean it’s not too surprising to hear this.

I might recognise that you are unsuitable for treatment if you show signs of:

  1. Expecting me to completely reverse the signs of ageing 
  2. Focusing on an insignificant defect, or seeing a flaw in your face that I cannot see
  3. Mirror avoidance or excessive mirror looking (looking very closely or for an extended period of time at your face in clinic) 
  4. Expecting the treatment to totally change your life, or change your marital or employment status
  5. Not being interested in the risks involved in the treatment
  6. If you are in crisis like a recent death, trauma or other major life-changing event
  7. Show a history of being repeatedly unhappy with treatment outcomes from me or someone else.

What I learnt was that for some disorders, like body dysmorphia, I am most likely to be the health professional to realise there may be a problem. 

How do I know if I could have body dysmorphia?

The truth is that most of us have it, to some degree, even if that’s only 0.005%!

If you’re reading this blog, then you’re probably a patient or thinking about being one, so you have some aspect about your face that bothers you enough to seek treatment. The difference is that it’s NOT significantly impacting your life so as to cause significant distress and stop you from going about your normal life. 

You could have dysmorphia if you show signs of;

  1. Excessive mirror checking
  2. Excessive grooming
  3. Skin picking
  4. Reassurance seeking, about an aspect of your face or body, from others ( especially when comparing yourself to others) 

What does this mean for you?

If you recognise that you show some of the behaviours mentioned above, don’t be alarmed, there are treatments to help you. It also doesn’t mean that you are excluded from having aesthetic treatments. What I learn from the training is, that the most important thing is that both you and I realise and acknowledge the problem, so we can have an open and honest discussion on what’s best for you, to help you manage your care. What’s clear from the research is that, if the condition goes unrecognised, and treatment continues without consideration of the problem, then almost certainly, your condition will become worse. 


“I highly recommend Nicola and her lovely clinic. I went to get mole removal off my face and felt in good professional hands. Everything was explained to me in great detail about the procedure and after care advice to follow. I felt very relaxed during the procedure, didn’t find it painful and left with a big smile. Thank you so much”

Angela McPherson

“Always welcoming, taking time ensure my needs are met.
Excellent Covid protocol, so always feel in safe and professional hands from the point i ring the doorbell.”

Helen Bromehead

“For anyone who feels nervous about getting procedures done
One word “don’t” from the moment you enter the clinic you are made to feel at ease a truly great experience and the results are amazing
The best possible advice is given with only you in mind
Both Nikki and Gael are exceptionally welcoming and friendly “

Alison O’ Donnell

“I had a very good experience at the clinic, i got lots of good advice and feel much more positive about the ageing process and things that were beginning to bother me.
The clinic was very covid aware and have measures in place to keep everyone safe.”

Carol Wison

“Nicci & Gael are always so welcoming and totally professional. I love visiting the clinic as I know I am in very safe hands and Nicci actually takes time to discuss your needs and gives you honest advice. I totally trust her judgement and alway are more than happy with the service I receive. I would highly recommend the clinic and the treatments are superb.“

Simone Martin

"Visiting the clinic is always a fantastic experience. Expert care, advice and First Class treatment options. I feel so lucky to have this on my doorstep, a Harley Street Clinic in Moray"

Chloe K

"Visiting the clinic is always a fantastic experience. Expert care, advice and First Class treatment options. I feel so lucky to have this on my doorstep, a Harley Street Clinic in Moray"

Chloe K

“Hi Nichola, I don’t know if you remember but I had tear trough treatment back in November. I just wanted to say a huge thank you! I was initially fairly pleased with the results but now am delighted! The darkness has all but gone even without make-up. I am so much more confident than before.”


“My wrinkled lined face caused me great distress for many years! An opportunity arose to attend an open day with Dr Nichola Maasdorp. I was introduced to different treatments to reduce these lines. Following treatment my lines are smoother and I am very pleased with the results.
I would recommend facial enhancement treatment with Dr Nichola Maasdorp.”


“I am so happy with the scar revision procedure Nichola did on my lips. It has helped me with my confidence and the results are amazing. Definitely would recommend”

Nicola P


Choose either a face-to-face or online video consultation. 

No 4 Clinic Elgin Nichola Maasdorp

Submit your email address to keep up to date with all that's happening at the clinic:

T:+44 (0) 7595221484

Nichola Maasdorp No4 Clinic
Anti-ageing & Skincare Treatments
4 Mayne Road
IV30 1NY