Body dysmorphic disorder and cosmetic surgery: Evolution of 24 subjects with a minimal defect in appearance 5 years after their request for cosmetic surgery

Tignol, Jean-Pierre; Biraben-Gotzamanis, Louise; Martin-Guehl, Corinne; Grabot, Denis; Aouizerate, Bruno

doi:10.1016/j.eurpsy.2007.05.003

Cited by 100 publications

(42 citation statements)

References 32 publications

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“…This is probably due to the small sample size of this study. Studies performed by Tignol and Veale also found that BDD patients seeking cosmetic surgery were younger than their non-BDD counterparts but subject groups did not differ in gender [7,15]. These results suggest that surgeons who perform cosmetic rhinoplasty should have a higher index of suspicion in young patients seeking cosmetic rhinoplasty with a minimal defect in appearance.…”

Section: Discussionmentioning

confidence: 60%

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Jeremy¹

2015

Anaplastology

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Importance: To improve understanding of body dysmorphic disorder in Asian rhinoplasty patients Objective:To determine the prevalence of body dysmorphic disorder (BDD) in Asian patients who received cosmetic rhinoplasty and determine its impact on subjective outcomes after surgery. Design:A survey study of patients who received cosmetic rhinoplasty between January 2009 and December 2012 was undertaken. Telephone interview using validated instruments (Body Dysmorphic Disorder Questionnaire and Rhinoplasty Outcome Evaluation) were performed to determine the prevalence of BDD and the subjects' pre-/ post-operative subjective scoring of their noses. Setting: Tertiary care hospitalParticipants: All adult patients who received rhinoplasty for mainly cosmetic indications were included into our study population. Main Outcome Measures:Those who screened positive on the Body Dysmorphic Disorder Questionnaire were considered to have BDD. The Rhinoplasty Outcome Evaluation quantified the individual's perception of his/her nose before and after the operation.Results: Fifty-two patients who received cosmetic rhinoplasty were approached and forty-seven (90%) agreed to and completed the interview. The mean age of participants was 31.1 years. Twenty-seven (57%) of the participants were male and 20 were female. Of the 47 patients who participated in the study, seven (15%) were identified to have possible BDD. Six out of 7 of them were male. The BDD-group (mean age=26.0) was significantly younger (p=0.003) than the non-BDD group (mean age=32.0). Although the revision rate was clinically higher for the BDD group (29%) than the non-BDD group (12.5%), this was not statistically significant (p=0.276). Both groups reported overall improvement in ROE scores but patients with BDD had significantly lower pre-and post-operative ROE scores compared to non-BDD patients (p<0.05). Conclusion and Relevance:Our results show that BDD is quite prevalent amongst patients who have received cosmetic rhinoplasty. BDD patients are likely to have poorer subjective outcomes after surgery although they may experience some improvement in satisfaction when compared to before surgery.

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Section: Discussionmentioning

confidence: 60%

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Jeremy¹

2015

Anaplastology

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“…7 Individuals with BDD may receive unnecessary dermatological procedures and cosmetic surgeries, which waste resources by failing to address the underlying problem. [10][11][12] BDD may present in young people as well as is adults. However, in young people BDD is thought to present on more of a continuum from normal adolescent selfconsciousness.…”

Section: Introductionmentioning

confidence: 99%

Body dysmorphic disorder and olfactory reference disorder: proposals for ICD-11

Veale

Matsunaga

2014

Rev. Bras. Psiquiatr.

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The article reviews the historical background and symptoms of body dysmorphic disorder (BDD) and olfactory reference disorder, and describes the proposals of the WHO ICD-11 Working Group on the Classification of Obsessive-Compulsive and Related Disorders related to these categories. This paper examines the possible classification of BDD symptoms in ICD-10. Four different possible diagnoses are found (hypochondriacal disorder, schizotypal disorder, delusional disorder, or other persistent delusional disorder). This has led to significant confusion and lack of clear identification in ICD-10. Olfactory reference disorder can also be classified as a delusional disorder in ICD-10, but there is no diagnosis for non-delusional cases. The Working Group reviewed the classification and diagnostic criteria of BDD in DSM-5, as well as cultural variations of BDD and olfactory reference disorder that include Taijin Kyofusho. The Working Group has proposed the inclusion of both BDD and olfactory reference disorder in ICD-11, and has provided diagnostic guidelines and guidance on differential diagnosis. The Working Group's proposals for ICD-11 related to BDD and olfactory reference disorder are consistent with available global evidence and current understanding of common mechanisms in obsessive-compulsive and related disorders, and resolve considerable confusion inherent in ICD-10. The proposals explicitly recognize cultural factors. They are intended to improve clinical utility related to appropriate identification, treatment, and resource allocation related to these disorders.

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“…Prospektivna studija Tignol i sar. [37] pacijenata sa minimalnim telesnim manama koji su se podvrgli hiruškim zahvatima ukazala je da kozmetska hirurgija nije imala efikasnost na telesni dismorfički poremećaj, stepen hendikepa ili komorbiditet. Sa druge strane, jednogodišnje praće-nje Felix i sar.…”

Section: Estetske Hirurške Intervencije Kod Pacijenara Sa Telesnim DIunclassified

Aestetic surgery in the treatment of body dysmorphic disorder: Paradox of bioetics

Batinić¹,

Duišin²,

Barišić³

2014

Engrami

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1 Klinika za psihijatriju, Klinički centar Srbije, Beograd 2 Filozofski fakultet, Univerzitet u Beogradu, Odeljenje za psihologiju Napomena: Rad je saopšten na simpozijum Klinike za psihijatriju Kliničkog Centra Srbije "Bioetika i psihijatrija" održanom u Beogradu od 9-10 oktobra, 2014. Kratak sadržajTelesni dismorfički poremećaj pripada opsesivno-kompulzivnom spektru poremećaja i karakteriše se opsesivnom preokupacijom minornim ili nepostojećim manama u fizič-kom izgledu koje nisu vidljive ili su beznačajne za druge ljude, uz repetitivna ponaša-nja kao što su konstantno ogledanje, preterano doterivanje, kamuflaža, traženje razuveravanja, itd. Koža, kosa i nos su najčešća područja opsesivnih preokupacija. Uzrokuje značajnu patnju i oštećenje funkcionisanja. Stope suicidalne ideacije iznose i do 80%, a pokušaji sucida u toku života od 24%-48%. Istraživanja ukazuju da 27%-39% ovih pacijenata nema uvid u poremećaj. Pogadja 0.7%-2.4% opšte populaćije, a učestalost u ordinacijama plastične hirurgije iznosi 6.3%-9%. Želja za estetskom hirurgijom u ovom slučaju je deo problema: pogrešnog verovanja da je "greška" u telu. Estetska hirurgija u nekim slučajevima može da donese privremeno olakšanje, kao svojevrsan kompulzivni akt, ali dugotrajna praćenja ukazuju da održava ili pogoršava telesni dismorfički poremećaj, jer se u setingu "nelimitiranog narcizma" najčešće egzarcerbira preokupacija telesnim nedostacima. Zbog toga što se radi o poremećaju slike tela i opsesiji zamišljenim a ne realnim defektom, povećavaju se zahtevi za ponovljenim intervencijama da bi se postiglo "idealno rešenje", čime mnogi od ovih pacijenata postaju "adikti plastične hirurgije" i u krajnjem ishodu žrtve "viška operativnih intervencija". Tako su hiruške intervencije kod osoba sa telesnim dismorfičkom poremećajem kristalizacija paradoksa vezanih za estetsku hirurgiju kao način lečenja "kompleksa inferiornosti" i "uravnoteženja psihe".Uz prikaz slučaja iz naše kliničke prakse, diskutovani su etički paradoksi hiruških intervencija kod osoba sa telesnim dismorfičkim poremećajem vezani za hirurgiju "po želji", poštovanje prava autonomije, principi dobrobiti pacijenta i nenanošenja štete, informisani pristanak, itd. Ukazano je na načine i neophodnost identifikacije osoba sa telesnim dismorfičkim poremećajem u ordinacijama estetskih hirurga i njihovo upućivanje na psihijatrijski tretman. Sa velikom moći izmene telesnog izgleda u modernom društvu, treba da raste i odgovornost plastičnih hirurga i etičko preispitivanje profesionalnog ponašanja.Ključne reči: telesni dismorfički poremećaj, estetska hirurgija, paradoks, bioetika

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Body dysmorphic disorder and cosmetic surgery: Evolution of 24 subjects with a minimal defect in appearance 5 years after their request for cosmetic surgery

Cited by 100 publications

References 32 publications

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Body dysmorphic disorder and olfactory reference disorder: proposals for ICD-11

Aestetic surgery in the treatment of body dysmorphic disorder: Paradox of bioetics

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