Body Dysmorphic Disorder in Rhinoplasty Candidates: Prevalence and Functional Correlations

Background Rhinoplasty is one of the most commonly performed aesthetic/functional procedures worldwide. Among those who seek rhinoplasty are those whose aesthetic defect is interpreted by themselves disproportionately, leading to significant suffering. These are given the diagnosis of body dysmorphi...

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Bibliographic Details
Published in:Aesthetic plastic surgery 2021-04, Vol.45 (2), p.641-648
Main Authors: de Souza, Thiago Sasso Carmona, Patrial, Maria Theresa Costa Ramos de Oliveira, Meneguetti, André Francisco Correa, de Souza, Mariana Sasso Carmona, Meneguetti, Maria Elisa, Rossato, Virgílio Frota
Format: Article
Language:English
Subjects:
Body dysmorphic disorder
Body Dysmorphic Disorders - diagnosis
Body Dysmorphic Disorders - epidemiology
Body Dysmorphic Disorders - surgery
Candidates
Cross-Sectional Studies
Humans
Medicine
Medicine & Public Health
Nose
Original Article
Otorhinolaryngology
Plastic Surgery
Prevalence
Rhinoplasty
Self evaluation
Treatment Outcome
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Summary:Background Rhinoplasty is one of the most commonly performed aesthetic/functional procedures worldwide. Among those who seek rhinoplasty are those whose aesthetic defect is interpreted by themselves disproportionately, leading to significant suffering. These are given the diagnosis of body dysmorphic disorder (BDD). They commonly have high expectations regarding the surgical outcome and are often not satisfied postoperatively. The present study aimed to correlate BDD with the patient's self-assessment of nasal function, analysing whether BDD would have any influence on it. In addition, we verified the prevalence of the disorder in our population. Methods Cross-sectional, comparative and analytical study. Eighty-eight patients participated in the trial, 57 of them being candidates for rhinoplasty, rhinoplasty group (RG), and 31 from a random population, control group (CG). Through self-assessment, the BDSS, The Utrecht, SNOT-22 and NOSE questionnaires were applied. Patients with BDSS score ≥ 6 were considered as positive for BDD. Comparisons were made between the groups and among the candidates for rhinoplasty with positive or negative BDD. Results The prevalence of the disorder was 35.1% in the RG and 3.2% in the CG. Significantly, higher NOSE and SNOT-22 scores, reflecting worse nasal function, were obtained by the RG, especially in those with positive screening for BDD, when compared to those with negative screening ( p 
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-020-01930-9