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Rhinoplasty Outcomes in Patients With Symptoms of Body Dysmorphia
Aesthetic Surgery Journal
|March 7, 2024
Summary
Rhinoplasty can improve aesthetic satisfaction in patients with body dysmorphia symptoms. A study found that 83% of patients with positive body dysmorphia screening resolved symptoms post-surgery, indicating a positive psychological impact.
Area of Science:
- Plastic Surgery
- Psychology
- Otolaryngology
Background:
- Patients with body dysmorphia symptoms often seek aesthetic rhinoplasty.
- While body dysmorphic disorder is a formal diagnosis, some evidence suggests rhinoplasty can improve satisfaction in these patients.
Purpose of the Study:
- To assess the psychological effects of rhinoplasty using preoperative and postoperative body dysmorphia screening.
Main Methods:
- Retrospective review of 115 patients undergoing rhinoplasty (June 2021-April 2023).
- Utilized Body Dysmorphic Disorder-Aesthetic Surgery questionnaire (BDDQ-AS), SCHNOS, and VAS for data collection.
- Analyzed outcomes, stratifying by BDDQ-AS screening status.
Main Results:
- 83% of patients with positive BDDQ-AS screening showed resolution post-rhinoplasty.
- Preoperative and postoperative positive BDDQ-AS screening correlated with poorer aesthetic satisfaction (P < .002).
- No specific outcome measures predicted BDDQ-AS resolution in positively screened patients.
Conclusions:
- Resolution of body dysmorphia screening post-rhinoplasty is linked to enhanced patient aesthetic satisfaction.
- Rhinoplasty may have a beneficial psychological impact on select patients with body dysmorphia symptoms.
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