The COVID-19 pandemic has seen a massive shift toward virtual living, with video-conferencing now a primary means of communication for both work and social events. Individuals are finding themselves staring at their own video reflection, often for hours a day, scrutinizing a distorted image on screen and developing a negative self-perception. This survey study of over 100 board-certified dermatologists across the country elucidates a new problem of Zoom dysmorphia, where patients seek cosmetic procedures to improve their distorted appearance on video-conferencing calls.
considered highly suspicious of malignancy and investigated aggressively.
CASE REPORTA 58-year-old man was referred by his general dental practitioner (GDP) with a threemonth history of unilateral anaesthesia of his left chin and lip and a ten-week history of dull, throbbing pain from his left jaw radiating to his ear. He described a sudden onset of paraesthesia over a small area of the left side of his chin. This had progressively increased to involve his entire chin, lip and the oral mucosa overlying the left mandible.
Background
The COVID-19 pandemic has deeply disrupted daily life across the globe, with profound effects on mental and physical health. After more than a year of isolation and communication via videoconferencing, people are returning to in-person activities.
Objective
This study aimed to investigate worsening self-perception, mental health, and anxiety with the return to in-person activities, with a focus on the influence of videoconferencing, social media, and the use of filters.
Methods
An anonymous survey was distributed online through social media platforms and student network pages.
Results
A total of 7295 participants responded to the survey. Seventy-one precent reported anxiety or stress related to returning to in-person activities, and nearly 64% sought mental health support services. Thirty-percent stated they plan to invest in their appearance as a coping strategy to deal with the anxiety of returning to in-person, and >30% plan to take action in changing their appearance. The most reported dermatologic concerns were skin discoloration (32.36%), wrinkles (24.45%), and acne (14.85%). The prevalence of anxiety and mental health services increased relative to the use of filters in 18- to 24 year-olds.
Conclusion
This survey study of >7000 participants across the country elucidates worsening self-perception, anxiety, and mental health as we return to in-person activities in relation to increased videoconferencing, social media usage, and the use of filters. Physicians should be aware of these effects to better serve their patients.
The largest study till date (6 patients and 12 lipomas) had a mean reduction of 75% after an average of 2.2 treatments. 5 Complete dissolution of a large lipoma after a single session of deoxycholic acid injection has also been reported. 2 Thus, injection lipolysis can be an excellent addition to the armamentarium of a dermatologist, especially when patients present with multiple lipomas or are averse to surgery.Future larger studies are needed to establish the efficacy and safety of this technique for the treatment of lipomas.
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