Comparison of Aesthetic and Functional Rhinoplasty Outcomes Between Patients with Body Dysmorphic Disorder and Normal...

Area of Science:

• Plastic Surgery
• Psychiatry
• Otolaryngology

Background:

• Rhinoplasty is a top cosmetic procedure globally.
• Body dysmorphic disorder (BDD) is prevalent among rhinoplasty candidates.
• Understanding BDD's impact on rhinoplasty outcomes is crucial.

Purpose of the Study:

• Assess BDD prevalence in rhinoplasty candidates.
• Compare aesthetic and functional outcomes between BDD-positive and BDD-negative patients.
• Evaluate BDD's association with patient satisfaction post-rhinoplasty.

Main Methods:

• Cross-sectional, comparative study design.
• Screening of 209 rhinoplasty candidates using the BDDQ questionnaire.
• Utilized ROE, SCHNOS-C, NOSE, and SCHNOS-O for outcome assessment.

Main Results:

• BDD prevalence was 18.66% among candidates.
• BDD-positive patients showed significantly lower satisfaction with cosmetic (ROE, SCHNOS-C) and functional (NOSE) outcomes.
• BDD was associated with higher odds of severe aesthetic concerns.

Conclusions:

• Patients with BDD experience significantly less satisfaction with rhinoplasty outcomes.
• Pre-operative BDD assessment is recommended for improved patient and surgeon management.
• Screening for BDD can enhance rhinoplasty success rates and patient well-being.