Is Hating Your Nose Pathologic?

Peter Yellowlees, MBBS, MD


November 28, 2011

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This is the Medscape Psychiatry Minute. I am Dr Peter Yellowlees. Many people are very unhappy about the shape or size of their nose. The only psychiatric diagnosis that directly addresses this significant body image dissatisfaction is body dysmorphic disorder. Five investigators from the University of Leuven in Belgium have carried out a study to determine the prevalence of body dysmorphic disorder and its symptoms in 226 patients seeking rhinoplasty. They found that 33% of patients showed at least moderate symptoms of body dysmorphic disorder and that these symptoms significantly reduced the patients' generic quality of life and led to significant appearance-related disruption in everyday living. They noted that patients undergoing revision rhinoplasty and those with a psychiatric history were particularly at risk. Given the increasing numbers of patients making a trip to the plastic surgeon, we need to be particularly aware of this issue. This article is selected from Medscape Best Evidence. I am Dr. Peter Yellowlees.



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