Abstract
The aim of the present study was to evaluate the prevalence of body dysmorphic disorder in plastic surgery and dermatology patients, by performing a systematic review of the literature and meta-analysis. The most relevant studies published originally in any language were analyzed. The literature search was performed using the PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and Scielo databases. The final sample comprised 33 publications that were submitted to meta-analysis. The study verified that 15.04% of plastic surgery patients had body dysmorphic disorder (range 2.21–56.67%); patient mean age was 34.54 ± 12.41 years, and most were women (74.38%). Among dermatology patients, 12.65% (range 4.52–35.16%) had body dysmorphic disorder; patient mean age was 27.79 ± 9.03 years, and most were women (76.09%). Both plastic surgeons and dermatologists must adequately assess their patients to identify those with a higher likelihood of body dysmorphic disorder and should arrange multidisciplinary care for such individuals.
Level of Evidence V
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
This is a preview of subscription content,
to check access.Similar content being viewed by others
References
Conrado LA, Hounie AG, Diniz JB, Fossaluza V, Torres AR, Miguel EC, Rivitti EA (2010) Body dysmorphic disorder among dermatologic patients: prevalence and clinical features. J Am Acad Dermatol 63:235–243
Bjornsson AS, Didie ER, Phillips KA (2010) Body dysmorphic disorder. Dialogues Clin Neurosci 12:221–232
Felix GA, Brito MJ, Nahas FX, Tavares H, Cordas TA, Dini GM, Ferreira LM (2014) Patients with mild to moderate body dysmorphic disorder may benefit from rhinoplasty. J Plast Reconstr Aesthet Surg 67:646–654
Veale D (2004) Body dysmorphic disorder. Postgrad Med J 80:67–71
American Psychiatric Association APA (2013) Obsessive-compulsive and related disorders. Diagnostic and statistical manual of mental disorders, 5th edn. APA, Arlington
Phillips K (1996) The broken mirror: understanding and treating body dysmorphic disorder. Oxford University Press, New York
Veale D, Gledhill LJ, Christodoulou P, Hodsoll J (2016) Body dysmorphic disorder in different settings: a systematic review and estimated weighted prevalence. Body Image 18:168–186
Vulink NCC, Sigurdsson V, Kon M, Bruijnzeel-Koomen CAFM, Westenberg HGM, Denys D (2006) Stoornis in de lichaamsbeleving bij 3–8% van de patiënten op de poliklinieken Dermatologie en Plastische Chirurgie. Ned Tijdschr Geneeskd 150:97–100
Ishigooka J, Iwao M, Suzuki M, Fukuyama Y, Murasaki M, Miura S (1998) Demographic features of patients seeking cosmetic surgery. Psychiatry Clin Neurosci 52:283–287
Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA (1998) Body image dissatisfaction and body dysmorphic disorder in 100 cosmetic surgery patients. Plast Reconstr Surg 101:1644–1649
Altamura C, Paluello MM, Mundo E, Medda S, Mannu P (2001) Clinical and subclinical body dysmorphic disorder. Eur Arch Psychiatry Clin Neurosci 251:105–108
Vargel S, Ulusahin A (2001) Psychopathology and body image in cosmetic surgery patients. Aesthetic Plast Surg 25:474–478
Vindigni V, Pavan C, Semenzin M, Granà S, Gambaro FM, Marini M, Mazzoleni F (2002) The importance of recognizing body dysmorphic disorder in cosmetic surgery patients: do our patients need a preoperative psychiatric evaluation? Eur J Plast Surg 25:305–308
Aouizerate B, Pujol H, Grabot D, Faytout M, Suire K, Braud C, Auriacombe M, Martin D, Baudet J, Tignol J (2003) Body dysmorphic disorder in a sample of cosmetic surgery applicants. Eur Psychiatry 18:365–368
Crerand CE (2003) Rate of body dysmorphic disorder among patients seeking facial cosmetic procedures. Doctoral Thesis, Drexel University, Philadelphia
Castle DJ, Molton M, Hoffman K, Preston NJ, Phillips KA (2004) Correlates of dysmorphic concern in people seeking cosmetic enhancement. Aust N Z J Psychiatry 38:439–444
Bellino S, Zizza M, Paradiso E, Rivarossa A, Fulcheri M, Bogetto F (2006) Dysmorphic concern symptoms and personality disorders: a clinical investigation in patients seeking cosmetic surgery. Psychiatry Res 144:73–78
Hayashi K, Miyachi H, Nakakita N, Akimoto M, Aoyagi K, Miyaoka H, Uchinuma E (2007) Importance of a psychiatric approach in cosmetic surgery. Aesthet Surg J 27:396–401
Lai CS, Lee SS, Yeh YC, Chen CS (2010) Body dysmorphic disorder in patients with cosmetic surgery. Kaohsiung J Med Sci 26:478–482
Alavi M, Kalafi Y, Dehbozorgi GR, Javadpour A (2011) Body dysmorphic disorder and other psychiatric morbidity in aesthetic rhinoplasty candidates. J Plast Reconstr Aesthet Surg 64:738–741
Picavet VA, Prokopakis EP, Gabriels L, Jorissen M, Hellings PW (2011) High prevalence of body dysmorphic disorder symptoms in patients seeking rhinoplasty. Plast Reconstr Surg 128:509–517
Fathololoomi MR, Goljanian Tabrizi A, Fattahi Bafghi A, Noohi SA, Makhdoom A (2013) Body dysmorphic disorder in aesthetic rhinoplasty candidates. Pak J Med Sci 29:197–200
Jeremy GCG, Stephen L (2014) Prevalence of body dysmorphic disorder and impact on subjective outcome amongst Singaporean rhinoplasty patients. Anaplastology 3:140
Metcalfe DB, Duggal CS, Gabriel A, Nahabedian MY, Carlson GW, Losken A (2014) Prevalence of body dysmorphic disorder among patients seeking breast reconstruction. Aesthet Surg J 34:733–737
Dey JK, Ishii M, Phillis M, Byrne PJ, Boahene KD, Ishii LE (2015) Body dysmorphic disorder in a facial plastic and reconstructive surgery clinic: measuring prevalence, assessing comorbidities, and validating a feasible screening instrument. JAMA Facial Plast Surg 17:137–143
Woolley AJ, Perry JD (2015) Body dysmorphic disorder: prevalence and outcomes in an oculofacial plastic surgery practice. Am J Ophthalmol 159(1058–1064):e1051
Brito MJ, Nahas FX, Cordas TA, Tavares H, Ferreira LM (2016) Body dsmorphic disorder in patients seeking abdominoplasty, rhinoplasty, and rhytidectomy. Plast Reconstr Surg 137:462–471
Brito MJ, Nahas FX, Cordas TA, Gama MG, Sucupira ER, Ramos TD, Felix Gde A, Ferreira LM (2016) Prevalence of body dysmorphic disorder symptoms and body weight concerns in patients seeking abdominoplasty. Aesthet Surg J 36:324–332
Phillips KA, Dufresne RG Jr, Wilkel CS, Vittorio CC (2000) Rate of body dysmorphic disorder in dermatology patients. J Am Acad Dermatol 42:436–441
Uzun O, Basoglu C, Akar A, Cansever A, Ozsahin A, Cetin M, Ebrinc S (2003) Body dysmorphic disorder in patients with acne. Compr Psychiatry 44:415–419
Bowe WP, Leyden JJ, Crerand CE, Sarwer DB, Margolis DJ (2007) Body dysmorphic disorder symptoms among patients with acne vulgaris. J Am Acad Dermatol 57:222–230
Hsu C, Ali Juma H, Goh CL (2009) Prevalence of body dysmorphic features in patients undergoing cosmetic procedures at the National Skin Centre, Singapore. Dermatology 219:295–298
Kacar SD, Ozuguz P, Bagcioglu E, Coskun KS, Uzel Tas H, Polat S, Karaca S (2014) The frequency of body dysmorphic disorder in dermatology and cosmetic dermatology clinics: a study from Turkey. Clin Exp Dermatol 39:433–438
Kacar SD, Ozuguz P, Bagcioglu E, Coskun KS, Polat S, Karaca S, Ozbulut O (2016) Frequency of body dysmorphic disorder among patients with complaints of hair loss. Int J Dermatol 55:425–429
Thanveer F, Khunger N (2016) Screening for body dysmorphic disorder in a dermatology outpatient setting at a Tertiary Care Centre. J Cutan Aesthet Surg 9:188–191
Buhlmann U, Glaesmer H, Mewes R, Fama JM, Wilhelm S, Brahler E, Rief W (2010) Updates on the prevalence of body dysmorphic disorder: a population-based survey. Psychiatry Res 178:171–175
Koran LM, Abujaoude E, Large MD, Serpe RT (2008) The prevalence of body dysmorphic disorder in the United States adult population. CNS Spectr 13:316–322
Otto MW, Wilhelm S, Cohen LS, Harlow BL (2001) Prevalence of body dysmorphic disorder in a community sample of women. Am J Psychiatry 158:2061–2063
Rief W, Buhlmann U, Wilhelm S, Borkenhagen A, Brahler E (2006) The prevalence of body dysmorphic disorder: a population-based survey. Psychol Med 36:877–885
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The author declares that he has no conflicts of interest to disclose.
Rights and permissions
About this article
Cite this article
Ribeiro, R.V.E. Prevalence of Body Dysmorphic Disorder in Plastic Surgery and Dermatology Patients: A Systematic Review with Meta-Analysis. Aesth Plast Surg 41, 964–970 (2017). https://doi.org/10.1007/s00266-017-0869-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-017-0869-0