Cosmetic Surgery Not a Help for Body Dysmorphic
TUESDAY, Aug. 17 (HealthDay News) -- One in five people with a
condition known as body dysmorphic disorder (BDD) undergo cosmetic
procedures, but only 2 percent of them experience a reduction in
the severity of their condition after their treatment, researchers
"BDD is a psychiatric disorder characterized by preoccupation with an imagined or slight defect in appearance, which causes clinically significant distress or functional impairment. A majority of these individuals believe they have an actual deformity that can be corrected by cosmetic treatments to fix these perceived defects rather than seeking psychiatric interventions," study co-author Dr. Katharine A. Phillips, director of the body image program at Rhode Island Hospital, said in a hospital news release.
Phillips and her colleagues looked at 200 people with BDD and
found that 31 percent sought and 21 percent underwent surgical or
minimally invasive cosmetic treatment. Among those who actually had
a cosmetic procedure, most continued to have BDD symptoms
afterwards, and in some cases they developed new preoccupations
with their appearance, the researchers noted.
The investigators also surveyed 265 cosmetic surgeons and found
that 178 (65 percent) reported treating patients with BDD. But
among those cases, only 1 percent of the treatments resulted in
symptom improvement for patients with BDD, the study authors
"These findings, coupled with reports of lawsuits and occasionally violence perpetrated by persons with BDD towards physicians, have led some to believe that BDD is a contraindication for cosmetic treatment," Phillips said.
The most common surgical procedures sought by BDD patients are
rhinoplasty (nose jobs) and breast enlargements, while the most
common minimally invasive treatments are collagen injections and
skin treatments known as microdermabrasion, the study authors
The researchers also found that three-quarters of procedures
requested by BDD patients involved facial features and that more
than one-third of patients received multiple procedures.
"This study provides new and more detailed information about receipt and outcome of surgical/minimally invasive procedures, and the findings indicate that there is a clear need to further investigate this topic in prospective studies. In the meantime, physicians need to be aware that psychiatric treatments for BDD such as serotonin reuptake inhibitors and cognitive behavioral therapy appear to be effective for what can be a debilitating disorder," the researchers concluded.
The study was published in the July issue of the journal
Annals of Plastic Surgery.
The Nemours Foundation has more about
body dysmorphic disorder.
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