Abstract
Introduction Body dysmorphic disorder (BDD), a common psychiatric condition in patients who are
candidates for plastic surgery, is characterized by dysmorphia/defects imagined by
the patient about their body, but which are unrealistic or poorly perceived by other
people, in addition to repetitive behaviors or mental acts in response to these concerns.
Objective To describe the incidence of patients undergoing plastic surgery who present BDD,
and to analyze the postoperative acceptance and the factors that alter the satisfaction
with the outcome, which plastic procedures are most sought after by these patients,
and the respective conduct of surgeons in these cases.
Materials and Methods We conducted a literature review on the PubMed and SciELO databases using the descriptors
body dysmorphic disorder and plastic surgery .
Results Body dysmorphic disorder is the most important condition for aesthetic procedures
today. It reduces quality of life, and the most severe cases present a risk of suicidal
ideation and attempts.
Discussion Since Brazil is the leading country in aesthetic procedures, professionals must know
how to recognize and treat these patients early, using specific therapies and a multidisciplinary
approach, assessing the severity of each case and the need for surgical cancellations.
Conclusion Caution becomes an essential medical quality, as this is not an aesthetic problem,
but a mental disorder.
Keywords body image - aesthetics - mental disorders - patient satisfaction - plastic surgery
Bibliographical Record Simone Kempf Stachechem, Franco Ricieri Mazzaro, Maria Elisa Lunardi, Juliana Gomes
Margraf, Julia Buquera Bettes, Paulo Sergio Loiacono Bettes. Procedimentos cirúrgicos
estéticos em pacientes diagnosticados com transtorno dismórfico corporal. Revista
Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024;
39: s00451801879. DOI: 10.1055/s-0045-1801879