Thaís Cristina CARVALHO, Ícaro de Almeida Toledo PIRES, Caio Márcio Correia SOARES, Odin Ferreira do AMARAL NETO, Thiago Sasso Carmona de SOUZA
Rhinoseptoplasty is among the most performed aesthetic/functional procedures in the world. Among those who seek surgery are those whose aesthetic defect, real or imagined, is interpreted by themselves in a disproportionate way, leading to suffering and/or significant impairment of psychosocial functioning and quality of life. These are diagnosed with Body Dysmorphic Disorder (BDD). These are patients who commonly have high expectations regarding the surgical outcome and who are often not satisfied post-operatively. The objective of this study was to correlate the profile of the rhinoplasty surgeon with the perception of BDD in their daily practice, analyzing whether the professional’s profile influences the perception or approach of patients with body self-image disorders. This is a cross-sectional and analytical study carried out with 80 surgeons, who completed a questionnaire related to the surgeon’s profile, professionals’ level of knowledge about TDC and how they approach these patients. Results: There was a very similar distribution of respondents in terms of gender, with a slight predominance of male surgeons, the vast majority of whom were otorhinolaryngologists with up to two years of practice in the specialty. Most respondents stated that they were unfamiliar with BDD, not even carrying out the assessment or screening, and were unaware of the disorder’s diagnostic methods. Most participants reported having come across patients with BDD in the last year, including operating on them, and showing less satisfaction with the result of the procedure, which led to threats in some cases. The frequency of screening for Body Dysmorphic Disorder was associated with length of time in the profession, and having knowledge about BDD was also associated with years of practice in rhinoplasty and the number of annual rhinoplasties. Overall, having knowledge about TDC was associated with years of rhinoplasty practice, as well as with the number of rhinoplasties performed per year.
Carvalho TC, Pires IAT, Soares CMC, Amaral Neto OFA, Souza TSC. The perception of body dysmorphic disorder in rhinoplasty by facial plastic surgeons. J Contemp Dis Adv Med. 2023 May- Aug;2(2):51-62.
