Body dysmorphic disorder in aesthetic rhinoplasty candidates

Fathololoomi, Mohammad Reza; Tabrizi, Ali; Bafghi, Ali Fattahi; Noohi, Ali; Makhdoom, Ali

doi:10.12669/pjms.291.2733

Cited by 21 publications

(32 citation statements)

References 19 publications

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“…Similarly, the most common Axis I diagnosis in the current study is the body dysmorphic (BDD) disorder (10.2%) while a lower rate (7%) was recorded by Sarwer and Crerand [28], on and the other hand, higher rates (24.5%, 32.5%, and 33%) were found by other investigators [18,29,30]. Differences could be attributed to different methods of assessment and diagnosis.…”

Section: Discussionsupporting

confidence: 43%

Psychiatric morbidity among Egyptian patients seeking rhinoplasty

Omar

Eid

Ali

et al. 2019

Middle East Curr Psychiatry

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Background: Rhinoplasty is one of the most common cosmetic surgeries performed on the face; seeking this operation can be influenced by socio-cultural factors, personality factors, and psychiatric morbidity. The purpose of this study is to identify the prevalence and profile of psychiatric morbidities that would present among those individuals seeking rhinoplasty and to recognize the importance of preoperative psychiatric assessment. Results: 50.8% of the study sample fulfilled the DSM-IV criteria for Axis I and Axis II psychiatric disorders. The most prevalent diagnosis among the whole group was mixed personality disorder (15.2%) followed by body dysmorphic disorder (10.2%), borderline personality disorder (6.8%), and then anxiety disorders (5%). Data revealed that female non-married subjects who were performed with a previous cosmetic operation suffered significantly from psychiatric morbidity. Subjects with psychiatric morbidity showed significant (P, 0.000) higher scores in MBSRQ health orientation and weight preoccupation than their non-psychiatric counterparts. Conclusion: This study demonstrated a high prevalence of psychiatry morbidity in individuals requesting rhinoplasty. It seems important to screen individuals for mental health problems preoperatively to detect crucial psychiatric problems; thus, we can avoid subsequent risk for both individuals and cosmetic surgeons.

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Section: Discussionsupporting

confidence: 43%

Psychiatric morbidity among Egyptian patients seeking rhinoplasty

Omar

Eid

Ali

et al. 2019

Middle East Curr Psychiatry

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“…There were improvements in the total study population across most nasal function outcomes ( Table 2) and in both groups ( Table 3 and Table 4). Rhinoplasty improved patient perceptions of nasal function with decreased sensation of nasal obstruction assessed by VAS on the left side (mean [SD] change, 18 [30]; P < .001) and VAS on the right side (mean [SD] change, 24 [30]; P < .001) and lower scores in disease-specific qualityof-life measures NOSE (mean [SD] change, 1.35 [1.21]; P < .001) and SNOT-22 (mean [SD] change, 0.81 [0.88]; P < .001). Additionally, there were improved scores in the nasal obstruction symptom for 74 of 88 patients (84.4%) (P < .001) and nasal function anchor score for 80 of 88 patients (90.4 0%) (P < .001) ( Table 2).…”

Section: Postoperative Changes In Nasal Function Outcomesmentioning

confidence: 99%

“…2 2 Anecdotally, men are less satisfied with cosmetic rhinoplasties than women. 24 However, previous studies 6,7,11,14,18,[24][25][26][27][28][29][30][31][32][33] have been unable to confirm whether satisfaction differs between the sexes because women make up the overwhelming majority of patients undergoing rhinoplasty. In this way, the demographic characteristics of populations undergoing rhinoplasty are a barrier to analyzing whether sex may influence patient satisfaction.…”

mentioning

confidence: 99%

Association Between Mental Health Status and Patient Satisfaction With the Functional Outcomes of Rhinoplasty

Strazdins

Nie

Ramli

et al. 2018

JAMA Facial Plast Surg

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IMPORTANCE Mental health can have an impact on patient satisfaction with rhinoplasty. However, the association between mental health and patient satisfaction with functional outcomes of rhinoplasty is poorly understood. OBJECTIVE To determine whether preoperative mental health is associated with satisfaction with functional outcomes of rhinoplasty. DESIGN, SETTING, AND PARTICIPANTS This case-control study assessed baseline nasal function and postsurgical functional outcomes for 88 consecutive patients undergoing rhinoplasty with both cosmetic and functional goals at 2 tertiary rhinologic centers in Sydney, Australia. EXPOSURES Poor mental well-being was defined preoperatively by the Optum SF-36v2 Health Survey mental component summary. MAIN OUTCOMES AND MEASURES Nasal function was assessed with patient-reported outcome measures, including visual analog scales, the Nasal Obstruction Symptom Evaluation Scale (NOSE), the 22-item Sinonasal Outcome Test (SNOT-22), and Likert scales. Objective outcomes included nasal peak inspiratory flow, nasal airway resistance, and minimum cross-sectional area. All outcomes were assessed preoperatively and 6 months postoperatively. The 36-item Optum SF-36v2 Health Survey mental component summary was used to assess mental well-being, with a score of less than 40 indicating poor mental well-being and a score 40 or higher indicating normal well-being. RESULTS Mean (SD) patient age was 37.6 (12.9) years and 53 of 88 (60.2%) were women. The mental component summary defined impaired well-being in n = 24 (cases) and normal well-being in n = 64 (controls). There were improvements in the total study population across most nasal function outcomes and in both groups. After rhinoplasty, benefit was seen for both groups in visual analog scale (left side mean [SD] change, 18 [30]; P < .001 and right side mean [SD] change, 24 [30]; P < .001); NOSE (mean [SD] change, 1.35 [1.21]; P < .001); and SNOT-22 (mean [SD] change, 0.81 [0.88]; P < .001) scores. Nasal peak inspiratory flow improved for both groups (mean [SD] change, 32 [45] L/min; P < .001), while nasal airway resistance and minimum cross-sectional area remained similar (change in nasal airway resistance, 0.086 Pa/cm 3 /s; 95% CI, −0.007 Pa/cm 3 /s to 0.179 Pa/cm 3 /s and change in minimum cross-sectional area, −0.04 cm 2 ; 95% CI, −0.21 cm 2 to 0.13 cm 2). Patients with poor mental health had similar improvements in nasal function compared with controls. CONCLUSIONS AND RELEVANCE Rhinoplasty imparts similar benefits to nasal function assessed by patient-reported outcome measures and objective airflow measures regardless of preoperative mental health status. LEVEL OF EVIDENCE 3.

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“…The majority of patients in ‘unemployed’ group were housewives. [10] A study by Kalus and Cregan revealed an association between aesthetic plastic surgery procedure and job, in a term of satisfaction and burnout frequency. Plastic surgery practice was significantly associated with increased job satisfaction and fewer burnout episodes at work afterward.…”

Section: Discussionmentioning

confidence: 99%

The characteristics of private plastic surgery practice in developing country: An epidemiological study

Rini

Krisna

Basuki

et al. 2018

Indian J Plast Surg

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Background: With the rise in working-age population, there has been notable economic growth in Indonesia. Along with it, there is an increase in expenditure for non-food items such as health-care service, without exception to plastic surgery practice. Aesthetic plastic surgery practice has gained its popularity in several other developing countries such as Brazil, Russia, India and China. Epidemiology report of private plastic surgery practice in Jakarta, the capital of Indonesia, will provide the evidence of increasing need for aesthetic plastic surgery practices as the basis for further improvement. Methods: This is a single-centre descriptive cross-sectional study with a total sampling method which included all patients registered at a private plastic surgery clinic between January 2008 and December 2016. Results: There were 1457 medical procedures. The majority (93.4%) of patients were female. More than 80% were surgical procedures, the most common ones were breast implant and blepharoplasty with the latter being similarly popular in both gender. The majority of the patients fell into 20–45-year-old group. Patients <20-year-old had undergone a more minor surgical procedure such as skin tumour and nevus excision or scar treatment while patients >45-year-old had more procedures with rejuvenation purpose. Conclusion: The epidemiology of private plastic surgery practice in an urban area of developing country resembles those in either developed or developing countries with a similar socio-demographic profile. This data can be further utilised for a more focused private plastic surgery practice improvement. The limitation however is that, the study is based on a single centre data.

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Body dysmorphic disorder in aesthetic rhinoplasty candidates

Cited by 21 publications

References 19 publications

Psychiatric morbidity among Egyptian patients seeking rhinoplasty

Psychiatric morbidity among Egyptian patients seeking rhinoplasty

Association Between Mental Health Status and Patient Satisfaction With the Functional Outcomes of Rhinoplasty

The characteristics of private plastic surgery practice in developing country: An epidemiological study

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