About the AAQ
Evidence-Based Assessment for Aesthetic Medicine
The Appearance Anxiety Questionnaire was developed to address a critical need in aesthetic practice: identifying patients who may be at risk for poor outcomes due to underlying psychological factors.
The Clinical Challenge
Aesthetic procedures are increasingly popular, yet a significant minority of patients present with elevated appearance anxiety or Body Dysmorphic Disorder (BDD). These patients often experience poor outcomes, continued distress, and may seek repeated procedures without satisfaction.
Research suggests that 7-15% of aesthetic patients may meet criteria for BDD, compared to 1-2% in the general population.
Patient Protection
Identify vulnerable patients before potentially harmful interventions
Risk Reduction
Reduce complaints and litigation through informed consent
Appropriate Support
Ensure psychological referral when indicated
Better Outcomes
Improve overall patient satisfaction and results
Seven Clinical Domains
The AAQ assesses appearance-related anxiety across seven empirically-derived subscales, each measuring a distinct aspect of the patient's relationship with their appearance.
Preoccupation
Time and mental energy devoted to appearance concerns
Social Threat
Fear of negative evaluation and judgement by others
Avoidance
Avoiding social situations due to appearance concerns
Safety Behaviours
Camouflaging, checking, and reassurance-seeking
Mood Reactivity
Emotional responses to perceived appearance changes
Self-Worth
Degree to which self-esteem is contingent on appearance
Functional Impairment
Impact on work, relationships, and daily activities
AAQ-Alert: BDD Risk Screening
In addition to the core assessment, five dedicated items screen for specific BDD risk indicators that warrant careful clinical attention.
Symptom Migration
History of concerns shifting between body areas after treatment
Insight Discrepancy
Gap between perceived and objective appearance
Compulsive Research
Excessive time researching procedures online
Urgency
Pressure to have procedures performed immediately
Perfectionism
Unrealistic expectations of treatment outcomes
The Triage System
Assessment results generate a clear triage recommendation to guide clinical decision-making.
Green - Lower Risk
Standard consultation pathway. Minimal appearance anxiety indicators. Proceed with normal informed consent process.
Amber - Further Assessment
Moderate indicators present. Extended consultation advised to explore motivations, expectations, and psychological readiness. Consider cooling-off period.
Red - Potential Contraindication
Elevated BDD risk indicators present. Psychological assessment recommended before proceeding. Consider referral to mental health professional.
Ready to Improve Patient Screening?
Join aesthetic clinics using evidence-based assessment to protect patients and improve outcomes.