Cosmetic rhinoplasty in body dysmorphic disorder

Veale, David; Haro, Lluís de; Lambrou, Christina

doi:10.1016/s0007-1226(03)00209-1

Cited by 166 publications

(146 citation statements)

References 17 publications

Supporting

Mentioning

121

Contrasting

Unclassified

Order By: Relevance

“…It has previously been used to determine the prevalence of BDD in cosmetic rhinoplasty setting by Veale et al [7]. To our knowledge, some studies have investigated the BBD rates in patients seeking rhinoplasty but there is no data on the proportion of BDD in patients who have already received cosmetic rhinoplasty [7,12,13]. This study reveals that 15% of patients who received cosmetic rhinoplasty in a tertiary hospital setting have possible BDD.…”

Section: Discussionmentioning

confidence: 76%

“…This brief screening tool has been validated in both the psychiatric and dermatological setting [11]. It has previously been used to determine the prevalence of BDD in cosmetic rhinoplasty setting by Veale et al [7]. To our knowledge, some studies have investigated the BBD rates in patients seeking rhinoplasty but there is no data on the proportion of BDD in patients who have already received cosmetic rhinoplasty [7,12,13].…”

Section: Discussionmentioning

confidence: 99%

“…Body Dysmorphic Disorder Questionnaire (BDDQ) was originally developed by Phillips [8]. This validated [7,9 ]screening tool was designed to screen for patients who are likely to have BDD based on the definition of BDD in DSM-IV [1]. It has also been used to determine the prevalence of BDD in cosmetic rhinoplasty by two earlier studies [7,9].…”

Section: Questionnairementioning

confidence: 99%

“…This validated [7,9 ]screening tool was designed to screen for patients who are likely to have BDD based on the definition of BDD in DSM-IV [1]. It has also been used to determine the prevalence of BDD in cosmetic rhinoplasty by two earlier studies [7,9]. Consistent with the DSM-IV definition, an individual positive for BDD must indicate a preoccupation with a perceived appearance flaw and report moderate distress and/or impairment in functioning [8].…”

Section: Questionnairementioning

confidence: 99%

“…Studies from psychiatric literature reveal that the majority of BDD patients experienced no improvement or even worsening of BDD symptoms after surgery [5]. Although some studies have attempted to investigate the impact of BDD on level of satisfaction after nose surgery [5][6][7], most of them did not use proper validated instruments specific for rhinoplasty to measure outcome. Therefore, the two main aims of this study are to determine the prevalence of BDD in patients who received cosmetic rhinoplasty in an Asian population and to determine the impact of BDD on subjective outcome after surgery using the validated Rhinoplasty Outcome Evaluation (ROE) instrument.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Jeremy¹

2015

Anaplastology

View full text Add to dashboard Cite

Importance: To improve understanding of body dysmorphic disorder in Asian rhinoplasty patients Objective:To determine the prevalence of body dysmorphic disorder (BDD) in Asian patients who received cosmetic rhinoplasty and determine its impact on subjective outcomes after surgery. Design:A survey study of patients who received cosmetic rhinoplasty between January 2009 and December 2012 was undertaken. Telephone interview using validated instruments (Body Dysmorphic Disorder Questionnaire and Rhinoplasty Outcome Evaluation) were performed to determine the prevalence of BDD and the subjects' pre-/ post-operative subjective scoring of their noses. Setting: Tertiary care hospitalParticipants: All adult patients who received rhinoplasty for mainly cosmetic indications were included into our study population. Main Outcome Measures:Those who screened positive on the Body Dysmorphic Disorder Questionnaire were considered to have BDD. The Rhinoplasty Outcome Evaluation quantified the individual's perception of his/her nose before and after the operation.Results: Fifty-two patients who received cosmetic rhinoplasty were approached and forty-seven (90%) agreed to and completed the interview. The mean age of participants was 31.1 years. Twenty-seven (57%) of the participants were male and 20 were female. Of the 47 patients who participated in the study, seven (15%) were identified to have possible BDD. Six out of 7 of them were male. The BDD-group (mean age=26.0) was significantly younger (p=0.003) than the non-BDD group (mean age=32.0). Although the revision rate was clinically higher for the BDD group (29%) than the non-BDD group (12.5%), this was not statistically significant (p=0.276). Both groups reported overall improvement in ROE scores but patients with BDD had significantly lower pre-and post-operative ROE scores compared to non-BDD patients (p<0.05). Conclusion and Relevance:Our results show that BDD is quite prevalent amongst patients who have received cosmetic rhinoplasty. BDD patients are likely to have poorer subjective outcomes after surgery although they may experience some improvement in satisfaction when compared to before surgery.

show abstract

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Questionnairementioning

confidence: 99%

Section: Questionnairementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Jeremy¹

2015

Anaplastology

View full text Add to dashboard Cite

show abstract

Body Dysmorphic Disorder in a Facial Plastic and Reconstructive Surgery Clinic

Dey

Ishii

Phillis

et al. 2015

JAMA Facial Plast Surg

View full text Add to dashboard Cite

Prevalence of Body Dysmorphic Disorder and Surgeon Diagnostic Accuracy in Facial Plastic and Oculoplastic Surgery Clinics

Joseph

Ishii

Joseph

et al. 2017

JAMA Facial Plast Surg

View full text Add to dashboard Cite

IMPORTANCE Body dysmorphic disorder (BDD) is a relative contraindication for facial plastic surgery, but formal screening is not common in practice. The prevalence of BDD in patients seeking facial plastic surgery is not well documented.OBJECTIVE To establish the prevalence of BDD across facial plastic and oculoplastic surgery practice settings, and estimate the ability of surgeons to screen for BDD. DESIGN, SETTING, AND PARTICIPANTS This multicenter prospective study recruited a cohort of 597 patients who presented to academic and private facial plastic and oculoplastic surgery practices from March 2015 to February 2016. METHODS All patients were screened for BDD using the Body Dysmorphic Disorder Questionnaire (BDDQ). After each clinical encounter, surgeons independently evaluated the likelihood that a participating patient had BDD. Validated instruments were used to assess satisfaction with facial appearance including the FACE-Q, Blepharoplasty Outcomes Evaluation (BOE), Facelift Outcomes Evaluation (FOE), Rhinoplasty Outcomes Evaluation (ROE), and Skin Rejuvenation Outcomes Evaluation (SROE). RESULTS Across participating practices (9 surgeons, 3 sites), a total of 597 patients were screened for BDD: 342 patients from site 1 (mean [SD] age, 44.2 [16.5] years); 158 patients, site 2 (mean [SD] age, 46.0 [16.2] years), site 3, 97 patients (mean [SD] age, 56.3 [15.5] years). Overall, 58 patients [9.7%] screened positive for BDD by the BDDQ instrument, while only 16 of 402 patients [4.0%] were clinically suspected of BDD by surgeons. A higher percentage of patients presenting for cosmetic surgery (37 of 283 patients [13.1%]) compared with those presenting for reconstructive surgery (21 of 314 patients [6.7%]) screened positive on the BDDQ (odds ratio, 2.10; 95% CI, 1.20-3.68; P = .01). Surgeons were only able to correctly identify 2 of 43 patients (4.7%) who screened positive for BDD on the BDDQ, and the positive likelihood ratio was only 1.19 (95% CI, 0.28-5.07). Patients screening positive for BDD by the BDDQ had lower satisfaction with their appearance as measured by the FACE-Q, ROE, BOE, SROE, and FOE.CONCLUSIONS AND RELEVANCE Body dysmorphic disorder is a relatively common condition across facial plastic and oculoplastic surgery practice settings. Patients who screen positive on the BDDQ have lower satisfaction with their facial appearance at baseline. Surgeons have a poor ability to screen for patients with BDD when compared with validated screening instruments such as the BDDQ. Routine implementation of validated BDD screening instruments may improve patient care.LEVEL OF EVIDENCE NA.

show abstract

Cosmetic rhinoplasty in body dysmorphic disorder

Cited by 166 publications

References 17 publications

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Prevalence of Body Dysmorphic Disorder and Impact on Subjective Outcome amongst Singaporean Rhinoplasty Patients

Body Dysmorphic Disorder in a Facial Plastic and Reconstructive Surgery Clinic

Prevalence of Body Dysmorphic Disorder and Surgeon Diagnostic Accuracy in Facial Plastic and Oculoplastic Surgery Clinics

Contact Info

Product

Resources

About