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

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dc.contributor.authorFelix, Gabriel de Almeida Arruda [UNIFESP]
dc.contributor.authorBrito, Maria José Azevedo de [UNIFESP]
dc.contributor.authorNahas, Fabio Xerfan [UNIFESP]
dc.contributor.authorTavares, Hermano
dc.contributor.authorCordás, Táki Athanássios
dc.contributor.authorDini, Gal Moreira [UNIFESP]
dc.contributor.authorFerreira, Lydia Masako [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionSapucai Valley Univ UNIVAS
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2016-01-24T14:37:15Z
dc.date.available2016-01-24T14:37:15Z
dc.date.issued2014-05-01
dc.description.abstractBody 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.en
dc.description.affiliationFed Univ São Paulo UNIFESP, Div Plast Surg, São Paulo, Brazil
dc.description.affiliationSapucai Valley Univ UNIVAS, Pouso Alegre, MG, Brazil
dc.description.affiliationUniv São Paulo, Dept Psychiat, São Paulo, Brazil
dc.description.affiliationUnifespFed Univ São Paulo UNIFESP, Div Plast Surg, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipInstitutional Scholarship Program for Undergraduate Research (PIBIC-UNIFESP)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.format.extent646-654
dc.identifierhttps://dx.doi.org/10.1016/j.bjps.2014.01.002
dc.identifier.citationJournal of Plastic Reconstructive and Aesthetic Surgery. Oxford: Elsevier B.V., v. 67, n. 5, p. 646-654, 2014.
dc.identifier.doi10.1016/j.bjps.2014.01.002
dc.identifier.issn1748-6815
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/37727
dc.identifier.wosWOS:000333811800020
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofJournal of Plastic Reconstructive and Aesthetic Surgery
dc.rightsAcesso restrito
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.subjectRhinoplastyen
dc.subjectPlastic surgeryen
dc.subjectBody dysmorphic disordersen
dc.subjectBody imageen
dc.subjectTherapeuticsen
dc.titlePatients with mild to moderate body dysmorphic disorder may benefit from rhinoplastyen
dc.typeArtigo
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