“…64 Other common repetitive behaviors are excessive grooming (eg, combing their hair or washing their skin repeatedly), tanning (to improve their skin color or skin imperfections), reas-C l i n i c a l r e s e a r c h surance seeking (asking whether one's appearance is acceptable), excessive shopping for beauty products, changing their clothes repeatedly to find a more flattering outfit, and excessive exercise (eg, weightlifting in the case of muscle dysmorphia). 1,52,55,[64][65][66] Many BDD patients (27% to 45%) pick at their skin in an attempt to improve perceived blemishes or imperfections; however, this behavior sometimes causes observable appearance defects and can even cause severe damage such as skin infections and rupture of blood vessels. [67][68][69] Many other examples of compulsive behaviors exist, which are often idiosyncratic, such as drinking more than 3 gallons of water a day to make one's face look fuller.…”