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Body dysmorphic disorder in cosmetic surgery patients
David B Sarwer1, Canice E Crerand, Elizabeth R Didie
1Department of Psychiatry, The University of Pennsylvania School of Medicine, The Edwin and Fannie Gray Hall Center for Human Appearance, Philadelphia 19104, USA.
Facial Plastic Surgery : FPS
|May 10, 2003
Summary
Body dysmorphic disorder (BDD) may be common in cosmetic surgery patients. Identifying BDD is crucial, as cosmetic treatments often worsen symptoms and do not benefit those with the disorder.
Area of Science:
- Psychiatry
- Plastic Surgery
- Psychology
Background:
- Body dysmorphic disorder (BDD) involves preoccupation with perceived appearance flaws, significantly impairing daily life.
- While general population prevalence is unknown, BDD may be overrepresented in cosmetic surgery seekers.
- BDD symptoms can be exacerbated by cosmetic procedures, offering no therapeutic benefit.
Purpose of the Study:
- To discuss the implications of body dysmorphic disorder (BDD) in the context of cosmetic surgery.
- To highlight the importance of identifying BDD in patients seeking cosmetic interventions.
Main Methods:
- Literature review and synthesis of existing evidence regarding BDD and cosmetic surgery.
- Discussion of diagnostic criteria and symptomology of BDD.
- Analysis of the impact of cosmetic procedures on individuals with BDD.
Main Results:
- Preliminary evidence indicates that individuals with BDD are frequently overrepresented among cosmetic surgery patients.
- Cosmetic treatments typically do not benefit patients with BDD and may lead to symptom exacerbation.
- Screening for BDD is essential for determining patient suitability for cosmetic procedures.
Conclusions:
- Identifying BDD symptomology is critical for appropriate patient selection in cosmetic surgery.
- Failure to identify BDD can lead to negative patient outcomes and treatment ineffectiveness.
- Further research is needed to understand the prevalence and management of BDD in this population.