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Outcome of cosmetic surgery and ‘DIY’ surgery in patients with body dysmorphic disorder

  • David Veale (a1)
Extract
Aims and Method

Little is known about the outcome of cosmetic surgery in patients with body dysmorphic disorder (BDD). Self-reported outcome was collected on 25 patients with BDD who at the time of psychiatric assessment had reported that they had had cosmetic surgery in the past.

Results

Twenty-five patients with BDD had a total of 46 procedures. The worst outcome was found in those who had had rhinoplasty and those with repeated operations. Mammoplasty and pinnaplasty was associated with higher degrees of satisfaction. Nine patients with BDD, either in desperation at being turned down for cosmetic surgery or because they could not afford it, had performed their own ‘DIY’ surgery in which they attempted by their own hand to alter their appearance dramatically.

Clinical Implications

Cosmetic surgery cannot at present be recommended for patients with BDD. However, patients turned down for surgery or who cannot afford it, may try to alter their appearance by themselves. The study contains a selection bias of patients in favour of treatment failures in cosmetic surgery and prospective studies are required on BDD patients who obtain cosmetic surgery or dermatological treatment.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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AMERICAN PSYCHIATRIC ASSOCIATION (1994) Diagnostic and Statistical Manual of Mental Disorders (DSM–IV) (4th edn). Washington, DC: American Psychiatric Press.
CARR, A. T., HARRIS, D. L. & JAMES, C. (2000) The Derriford Appearance Scale (DAS59): a new rated self-report questionnaire. British Journal of Health Psychology, in press.
FAVAZZA, A. R. & ROSENTHAL, R. J. (1993) Diagnostic issues in self-mutilation. Hospital and Community Psychiatry 44, 134140.
GUY, W. (1976) Assessment Manual for Psychopharmacology. Washington, DC: National Institute of Mental Health, US Department of Health, Education and Welfare.
HOLLANDER, E., ALLEN, A., KWON, J., et al (1999) Clomipramine vs desipramine crossover trial in body dismorphic disorder. American Journal of Psychiatry 56, 10331042.
KLASSEN, A., FITZPATRICK, R., JENKINSON, C., et al (1996) Should breast surgery be rationed? A comparison of the health status of patients before and after treatment: postal questionnaire survey. British Medical Journal, 313, 454457.
PHILLIPS, K. A., MCELROY, S. L., KEEK, P. E., et al (1993) Body dysmorphic disorder: 30 cases of imagined ugliness. American Journal of Psychiatry 150, 302308.
SARWER, D. B., WADDEN, T. A., PERTSCHUK, M. J., et al (1998) Body image dissatisfaction and bodydysmorphicdisorderin100 cosmetic surgery patients. Plastic & Reconstructive Surgery, 101, 16441649.
VEALE, D., BOOCOCK, A., GOURNAY, K., et al (1996a) Body dysmorphic disorder. A survey of fifty cases. British Journal of Psychiatry 169, 196201.
VEALE, D., GOURNAY, K., DRYDEN, W., et al (1996b) Body Dysmorphic Disorder: a cognitive behavioural model and pilot randomised-controlled trial. Behaviour Research and Therapy 34, 717729.
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  • EISSN: 1472-1473
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Outcome of cosmetic surgery and ‘DIY’ surgery in patients with body dysmorphic disorder

  • David Veale (a1)
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