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Related Experiment Videos

Dysmorphophobia--a long-term study.

F H Connolly, M Gipson

    The British Journal of Psychiatry : the Journal of Mental Science
    |June 1, 1978
    PubMed
    Summary

    Rhinoplasty patients were studied 15 years post-surgery. Those seeking surgery for aesthetic reasons showed significantly higher rates of severe neurosis and schizophrenia compared to those with reconstructive surgery.

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    Area of Science:

    • Psychiatry
    • Plastic Surgery
    • Mental Health Research

    Background:

    • Rhinoplasty is a common cosmetic and reconstructive surgical procedure.
    • Long-term mental health outcomes following rhinoplasty are not well-established.
    • Dysmorphophobia, a precursor to body dysmorphic disorder, may influence patient selection and outcomes.

    Purpose of the Study:

    • To investigate the long-term mental health status of patients who underwent rhinoplasty.
    • To compare mental health outcomes between patients who had rhinoplasty for reconstructive versus aesthetic reasons.
    • To assess the significance of dysmorphophobia as a predictor of mental health issues post-rhinoplasty.

    Main Methods:

    • A cohort of 187 patients who underwent rhinoplasty 15 years prior was assessed.
    • Patients were categorized into two groups: those operated on after disease/injury and those operated on for aesthetic reasons.
    • Mental health was evaluated, focusing on diagnoses of severe neurosis and schizophrenia.

    Main Results:

    • Of 101 patients with reconstructive rhinoplasty, 9 (8.9%) presented with severe neurosis and 1 (1%) with schizophrenia.
    • Of 86 patients with aesthetic rhinoplasty, 32 (37.2%) presented with severe neurosis and 6 (7%) with schizophrenia.
    • The difference in mental health outcomes between the two groups was statistically significant.

    Conclusions:

    • Patients undergoing rhinoplasty for aesthetic reasons exhibit a significantly higher prevalence of severe neurosis and schizophrenia 15 years later.
    • Dysmorphophobia appears to be a significant indicator of adverse long-term mental health outcomes in rhinoplasty patients.
    • These findings suggest careful psychological screening is warranted for patients seeking aesthetic rhinoplasty.

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