Psychiatric Disorders in Facial Plastic Surgery.

Area of Science:

• Psychiatry
• Plastic Surgery
• Psychology

Background:

• Body dysmorphic disorder (BDD) and borderline personality disorder (BPD) are prevalent in esthetic practices, affecting up to 15% of patients.
• Operating on patients with BDD or BPD can lead to poor outcomes, patient dissatisfaction, and negative practice behaviors.

Purpose of the Study:

• To highlight the importance of identifying BDD and BPD in patients seeking esthetic procedures.
• To emphasize the necessity of screening tools and understanding these conditions for esthetic practitioners.

Main Methods:

• Review of common psychological conditions in esthetic practices.
• Identification of red-flag indicators for BDD and BPD in the context of esthetic surgery.

Main Results:

• BDD and BPD are frequently encountered, potentially leading to adverse surgical outcomes and patient dissatisfaction.
• Key red flags include unrealistic expectations, history of multiple procedures, near-normal anatomy, trauma, comorbidities, and social dysfunction.

Conclusions:

• Esthetic practitioners must be equipped to recognize BDD and BPD.
• Referral for cognitive therapy is essential, and surgery should be avoided in affected individuals to prevent worsening of their condition.