A recent study reported by Fox news.com concluded that one in five Americans actively take at least one psychiatric drug. The study found that there was an increase in the use of powerful antipsychotic drugs across all ages, as well as growth in adult use of drugs for attention-deficit hyperactivity disorder or ADHD. There appeared to be an increase of these drugs used in women in the 45 to 65-year-old age range. Psychiatric drugs are among the most prescribed in the US. These drugs are a multibillion dollar business and there is controversy as to whether they are over prescribed. The fact remains that many Americans especially women are taking them on a daily basis. What does this mean to cosmetic plastic surgery? Dr. Kim explains to his patients that it is important for him to have a complete medical history on every patient. Past concerns with depression whether treated or not should be disclosed prior to surgery. Patients who are taking antidepressants, or other psychiatric medications should disclose the medications prior to surgery when consulting with Dr. Kim. Patients considering procedures such as breast augmentation or facelift may be concerned how the changes in their appearance will affect their mental state especially if they have had bouts of depression and been provided treatment. Dr. Kim encourages his patients to share their concerns and if necessary can work with the patients prescribing physician to help transition into the best possible patient experience. Ultimately patient safety is Dr. Kim’s primary concern. Patients who are taking psychiatric medications should not be embarrassed to share their information with Dr. Kim. All information is held in the strictest confidence according to HIPPA requirements. Most patients who are taking psychiatric medications and whose condition is well-controlled, are permitted to proceed with plastic surgery. Of course, each patient is different and every situation is reviewed on an individual basis.