Patients with mild to moderate body dysmorphic disorder may benefit from rhinoplasty

Patients with mild to moderate body dysmorphic disorder may benefit from rhinoplasty

Author Arruda Felix, Gabriel Almeida Autor UNIFESP Google Scholar
Azevedo de Brito, Maria Jose Autor UNIFESP Google Scholar
Nahas, Fabio Xerfan Autor UNIFESP Google Scholar
Tavares, Hermano Google Scholar
Cordas, Taki Athanassios Google Scholar
Dini, Gal Moreira Autor UNIFESP Google Scholar
Ferreira, Lydia Masako Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Sapucai Valley Univ UNIVAS
Universidade de São Paulo (USP)
Abstract Body dysmorphic disorder (BDD) is one of the most common psychiatric conditions found in patients seeking cosmetic surgery. BDD is also a challenge for plastic surgeons because it is still an underdiagnosed mental disorder. the aims of this study were to prospectively investigate whether patients with mild to moderate BDD are suitable for rhinoplasty, and to assess BDD severity and patient satisfaction with the surgical outcome 1 year after the intervention. All women (n = 116) seeking rhinoplasty at a university hospital between September 2009 and August 2010 were recruited for the study and assessed for BDD. the final sample consisted of 31 patients aged 32 (standard deviation (SD), 10) years with mild to moderate BDD who underwent rhinoplasty. the participants were assessed preoperatively (baseline) and 1 year postoperatively with the Body Dysmorphic Disorder Examination (BDDE). Most patients (22/31, 71%) were of African descent. Socio-demographic variables and the extent of the nasal deformities had no effect on the severity of BDD symptoms and patient satisfaction with surgery outcome. At the 1-year postoperative follow-up, there was a significant decrease from baseline in BDDE scores and time spent by patients worrying about their appearance; 25 (25/31, 81%) patients experienced complete remission from BDD and 28 (28/31, 90%) were satisfied with the results of surgery. Rhinoplasty may be indicated in the treatment of female patients with mild to moderate BDD. (C) 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier B.V. All rights reserved.
Keywords Rhinoplasty
Plastic surgery
Body dysmorphic disorders
Body image
Therapeutics
Language English
Sponsor Institutional Scholarship Program for Undergraduate Research (PIBIC-UNIFESP)
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Date 2014-05-01
Published in Journal of Plastic Reconstructive and Aesthetic Surgery. Oxford: Elsevier B.V., v. 67, n. 5, p. 646-654, 2014.
ISSN 1748-6815 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 646-654
Origin http://dx.doi.org/10.1016/j.bjps.2014.01.002
Access rights Closed access
Type Article
Web of Science ID WOS:000333811800020
URI http://repositorio.unifesp.br/handle/11600/37727

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