[What rhinoplasty surgeons should know about body dysmorphic disorder (BDD)]

Area of Science:

• Psychiatry
• Plastic Surgery
• Otolaryngology

Background:

• Body dysmorphic disorder (BDD) is a psychiatric condition marked by obsessions with perceived physical flaws.
• Patients with BDD often seek cosmetic surgery, with the nose being a common focus.
• BDD is increasingly recognized as a contraindication for aesthetic rhinoplasty.

Purpose of the Study:

• To review Body Dysmorphic Disorder (BDD) aspects relevant to rhinoplasty surgeons.
• To inform surgeons about BDD to prevent unsatisfactory surgical outcomes.
• To highlight medico-legal considerations regarding BDD and rhinoplasty.

Main Methods:

• Literature review focusing on BDD and aesthetic rhinoplasty.
• Synthesis of current understanding of BDD in the context of surgical considerations.
• Discussion of diagnostic challenges and management implications.

Main Results:

• Aesthetic rhinoplasty is frequently sought by individuals with BDD.
• Favorable outcomes are unlikely in BDD patients undergoing rhinoplasty.
• Surgeons need awareness of BDD to avoid inappropriate procedures.

Conclusions:

• BDD should be considered a contraindication for aesthetic rhinoplasty.
• Rhinoplasty surgeons must be knowledgeable about BDD to ensure patient safety and manage expectations.
• Understanding BDD is crucial for preventing negative surgical results and addressing medico-legal concerns.