Body Dysmorphic Disorder (BDD) is a condition that represents a point of intersection between the surgical area and psychiatry. It is characterized by an excessive concern with body self-image, due to a defect in physical appearance that can be imagined or even existing, but which is interpreted disproportionately. Its pathogenesis still a subject of study, with biological, social and psychological factors being considered. Diagnosing BDD remains challenging and its treatment involves a conjunction of drugs and adequate varieties of cognitive behavioral therapy. Due to the characteristics of the disorder, these patients usually seek plastic surgeons and aesthetic interventions much more often than psychiatric care. Among all the aesthetic defects reported by patients with BDD, nose related complaints seem to be the most frequent. Complementary to the aesthetic complaints, the subjective nasal function was also worse in them. Thus, rhinoplasty has become an often-desired surgery. The satisfaction of these patients with nasal cosmetic surgery, however, is often not achieved and the symptoms of the disorder may even worsen after the procedure. The facial plastic surgeon must, therefore, remain alert to these patients.
Audience Take Away Notes:
- It helps in understanding of body dysmorphic disorder and its correlations with cosmetic procedures may help in the management of these patients in the offices of physicians who perform cosmetic procedures.
- It helps to understand how body dysmorphic disorder can be present in the daily practice of the doctor who performs aesthetic procedures.
- Body dysmorphic disorder is a pathology that is still little studied and that needs more research to be better understood and managed by doctors.