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Related Experiment Videos

Identifying the body-dysmorphic patient in aesthetic surgery.

Darryl James Hodgkinson1

  • 1dr_hodgkinson@bigpond.com

Aesthetic Plastic Surgery
|December 6, 2005
PubMed
Summary

Body dysmorphophobia (BDD) is a psychiatric condition affecting up to 20% of cosmetic surgery seekers. Early recognition and psychological referral are crucial for surgeons to avoid patient dissatisfaction and potential harm.

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Area of Science:

  • Psychiatry
  • Plastic Surgery
  • Psychology

Background:

  • Body dysmorphophobia (BDD) affects a significant portion of patients seeking cosmetic surgery.
  • BDD presents diversely, making it challenging for plastic surgeons to identify.

Observation:

  • Patients with BDD often seek cosmetic surgery to alleviate body image distress.
  • Despite objective surgical outcomes, these patients typically remain dissatisfied.

Findings:

  • A substantial percentage of cosmetic surgery patients (up to 20%) may have BDD.
  • BDD patients are at risk of 'overoperation' and dissatisfaction.
  • BDD patients have a documented propensity for litigation and aggression towards surgeons.

Implications:

  • Plastic surgeons must be vigilant in screening for BDD.
  • Referral for psychological counseling and psychiatric evaluation is essential for BDD patients.
  • Deferring cosmetic surgery for patients with BDD is advised to prevent adverse outcomes and protect surgeons.

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