Body dysmorphic disorder and the liposuction patient.
BACKGROUND
Body dysmorphic disorder (BDD) is an under-recognized disorder that affects a sizeable number of patients who seek cosmetic enhancement, in particular liposuction. Understanding and recognizing BDD can positively impact the care delivered to patients.


OBJECTIVE
To familiarize physicians with the presenting signs of BDD and present strategies for caring for BDD patients in a liposuction and/or cosmetic surgery practice.


METHODS
Review of currently available literature and diagnostic criteria.


RESULTS
BDD affects approximately 1% of patients in the United States, but as many as 7 to 15% of patients seeking cosmetic surgery. Patients with BDD will usually demonstrate an obsession with the area they seek treatment of. In addition, patients with BDD present a unique challenge to the liposuction surgeon.


CONCLUSIONS
Physicians who care for patients seeking liposuction or other cosmetic procedures should learn to recognize those who have BDD. Proper recognition and counseling of BDD patients can have a significant positive impact on not only their care but also on the patient-physician relationship. Failure to recognize BDD can, and often does, lead to patient dissatisfaction, as well as difficult future interactions with the BDD patient.
Glaser
Dee Anna
DA
Department of Dermatology, Saint Louis University, St. Louis, Missouri, USA.
Kaminer
Michael S
MS
D001828:Body Image; D006801:Humans; D015187:Lipectomy; D012871:Skin Diseases / Q000523:psychology*; D013001:Somatoform Disorders / Q000523:psychology*; D013518:Surgery, Plastic