Cosmetic Surgery Addiction
Body Dysmorphic Disorder is a rare condition that can lead people to go under the knife again and again. See how it identified and treated.
Plastic surgeons are trained to perform procedures to correct physical deformities and intended solely to improve the appearance of a patient. But here is another plastic surgeon must have the ability: the ability to identify patients of cosmetic surgery that are never satisfied with the way they look and, in extreme cases, can develop addictions to plastic surgery.
Body dysmorphic disorder as the root of addiction Cosmetic Surgery
You can become physically addicted to surgery? “It’s more a psychological issue than a physical addiction,” said Canice E. Crerand, PhD, a psychologist in the division of plastic surgery at Children’s Hospital of Philadelphia.
And the underlying psychological problem has a name: body dysmorphic disorder, or BDD, a disorder that can lead to an addiction to cosmetic surgery. A person with BDD may be preoccupied with a slight, or even an imagined defect, usually on a facial feature. Focusing on the “default” becomes obsessive and severely disrupt daily activities and responsibilities. In fact, one study suggests that up to one third of patients with nose surgery, symptoms of BDD.
People with body dysmorphic disorder may spend hours every day trying to hide unpleasant physical features with makeup, clothing or accessories, or even try some form of do-it-yourself “surgery” to disguise the function. People with BDD also have unusual rates of suicide attempt.
Patients with this disorder is unlikely to be satisfied with the results of cosmetic surgery, and some people have even tried out their frustration on your plastic surgeon.
How can a doctor determine whether body dysmorphic disorder is behind an addiction to cosmetic surgery? Besides not being happy with surgical results, patients with BDD:
They may have unrealistic expectations about the surgery, thinking it will lead to a better or a better paying job
Can be satisfied with the procedure requested, but “suddenly realize,” another feature is unacceptable, says Crerand, and the desire for additional surgeries
The role of plastic surgeon at Plastic Surgery Addiction
Most plastic surgeons are aware that they can see patients suffering from body dysmorphic disorder. A plastic surgeon in charge should try to identify a patient with this condition before agreeing to perform a surgical procedure.
“There are some problems in determining whether a person has BDD,” says Crerand. “Individuals with body dysmorphic disorder tend to have low self-esteem.” Self-esteem has many different components – besides the appearance may be related to personal or business achievement, intellectual ability, or personality traits such as friendship or honesty. However, people with body dysmorphic disorder out a disproportionate amount of attention for their physical appearance.
Cosmetic surgery are almost always elective procedures, so a plastic surgeon has an ethical responsibility to weigh the risks and potential benefits of surgery.
To rule out the BDD, a plastic surgeon must interview the patient to try to understand the patient’s perspective. The plastic surgeon may ask:
What is the error you want to correct it bother you?
How often do you think about it?
Have you had previous surgery on the function? A replay of the surgery on a particular feature may indicate BDD.
If a plastic surgeon suspects that a patient may have body dysmorphic disorder, the physician should refer the patient to consult a psychologist or psychiatrist for a more in-depth interview and psychiatric history. People with body dysmorphic disorder are likely to have another psychiatric disorder such as depression, anxiety or substance abuse, which may require treatment.