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Body dysmorphic disorder in patients with cosmetic surgery
Chung-Sheng Lai1, Su-Shin Lee, Yi-Chun Yeh
1Department of Plastic Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
The Kaohsiung Journal of Medical Sciences
|September 15, 2010
Summary
Body dysmorphic disorder (BDD) is common in cosmetic surgery patients, with many undiagnosed cases leading to poor outcomes. Avoiding cosmetic surgery for BDD patients is recommended, alongside developing better diagnostic tools.
Area of Science:
- Psychiatry
- Plastic Surgery
- Medical Psychology
Background:
- Body dysmorphic disorder (BDD) involves preoccupation with perceived physical flaws.
- Individuals with BDD often seek cosmetic surgery instead of psychiatric treatment, leading to underdiagnosis.
- BDD prevalence in cosmetic surgery populations is not well-established.
Purpose of the Study:
- To determine the prevalence of BDD among patients seeking cosmetic surgery.
- To evaluate the post-surgical outcomes for BDD patients.
- To highlight the need for improved BDD diagnostic procedures in cosmetic surgery settings.
Main Methods:
- Retrospective review of medical records.
- Analysis of 817 patients undergoing cosmetic surgery over a 3-year period.
- Assessment of preoperative BDD diagnoses and post-surgical outcomes.
Main Results:
- BDD was identified in 7.7% (63/817) of patients seeking cosmetic surgery.
- 85.7% of BDD patients were diagnosed preoperatively.
- Undiagnosed BDD (14.3%) was associated with universally poor surgical outcomes.
Conclusions:
- BDD is a significant concern within cosmetic surgery clinics.
- Cosmetic surgery is contraindicated for individuals with BDD.
- Enhanced diagnostic strategies are crucial for identifying BDD in this patient group.
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