Tuesday, August 4, 2020

A Health Problem That Can Lead to Dissatisfied and Repetitive Plastic Surgeries : Body Dysmorphic Disorder (BDD)

A Condition That Needs Attention Before Cosmetic Surgeries: Dysmorphophobia


Body Dysmorphic Disorder
Image source: Body dysmorphic disorder - Wikipedia

Body Dysmorphic Disorder Definition and Characteristics


Body dysmorphic disorder, also known as dysmorphophobia, is a severe mental disorder frequently seen worldwide

The individual's perception of the body is mainly the subjective assessment of the individual's self-worth. Physical dysmorphic disorder can be defined as a state of extreme mental preoccupation and preoccupation with a person's external appearance, whether or not he has a physical defect or not, or a slight physical defect. That is, one's interpretation of the extent to which one's own characteristics are positive or negative. It is more accurate to say that the perception of the body is one's own thoughts. The psychological state caused by these thoughts also includes behaviors that are ultimately the expression of both thoughts and emotions.

An individual's body image is a multidimensional concept that encompasses the individual's perceptions, thoughts, beliefs, feelings and behaviors about his or her body. Our perception of the body is the picture of our own body that we shape in our mind.

It is known that people with negative body perception avoid meeting new people and entering social environments due to their physical appearance, do not want to show themselves, and often do not wish to leave their homes.

These refrains are seen extensively in body perception disorder and social anxiety disorder. Body perception has a decisive effect on an individual's self-esteem as well as their eating behaviors, social anxiety levels, sexual behaviors, social relationships and emotional states

The main characteristic of this disease is that the person is extremely concerned about his or her body and appearance.Usually, a person spends a lot of time controlling their appearance. When they feel they are being watched, the symptoms become more intense. Many of their actions are repetitive behaviors, such as constantly checking themselves in the mirror, spending hours in front of the mirror, just sprucing up on them, comparing themselves to others, or trying to hide parts of their bodies that they don't like. These are extremely repetitive behaviors.

There is a perception disorder that develops when a person's appearance is among normal or acceptable normal values, but feels ugly enough to attract attention, or physically flawed/ugly and/or incomplete. In fact, people who are exposed to this group of diseases have a kind of obsessive (obsessive) feelings can be mentioned.

In studies, the incidence of the disease in general society is considered 2-3 people in one hundred people, while the incidence in young adults and/or students increases up to 12-13%. It is very difficult for these patients, who have feelings of great shame, to be encouraged and open their feelings to their doctors. Because of their current perceptions, these patients actually refer to plastic surgery, dermatology specialists, dental clinics before psychiatric clinics. 

The incidence of the disorder is slightly higher in women. It was epidemiologically determined that the majority of cases were single or divorced. Again, there is a higher proportion of unemployed people than working people.

Because the symptoms are hidden behind a sense of shame, the counsellors hesitate to explain their symptoms or distress unless asked. Basically, patients consider themselves ugly or describe their bodies as disfigured or repulsive. Imperfections perceived by themselves are simple imperfections that are not perceived by others or seen only when expressed but do not disturb the other person. The body region in question can be any body area.

The patient's distress or thoughts are basically similar to the findings or thoughts of obsessive patients and are challenging. These often is the inclusion of anxiety disorder. Patients deal heavily with parts of their body that they don't like. If it is to be expressed as hours, this period can be between 3-6 hours in about half of patients, and in severe cases it can be up to 8-10 hours per day.

Of course, these mental struggles are accompanied by anxiety disorders, depressed thoughts, feelings of shame, and patients work hard to cover the defects they find. As a difference from obsession disease, these camouflage efforts of patients can reduce their distress, albeit partially and temporarily.

These patients tend to constantly check their disliked body parts in mirrors or with selfie techniques and compare them to other people. They often tend to take the opinion of others and question what their flaws look like. They control the body part they don't like very often, they change their mind very often and therefore tend to change an outfit, hairstyle, make-up indecisively. Dieting, excessive exercise, weighing too often, playing with skin color (tanning, tanning, laser and similar applications, chemical skin peeling methods), skin plucking are very common actions such as. Similarly, hair, hair plucking, nail or nail eating, excessive spending on cosmetics and clothing that cover the defect may be among the common behavioral disorders.

Some of these methods may be harmful enough to cause permanent defects due to the use of incisors or incinerators and tools.

Most of all, such patients believe in their perceptions completely and this is the most basic feature that allows patients to leave the obsession. The absence of a clear vision or even delusional symptoms in more than half of patients can be found.

Although the disease can start from preschool age, the average age of onset is 15-17. The need to be treated by hospitalization is more frequent in patients who start early (under 16) in terms of the severity of the course of the disease. The recovery rate of the disease under treatment is lower than that of similar mood disorders and anxiety disorders.

One of the most important issues to remember is that suicide thoughts and trials in patients diagnosed with BDB are very often ratted out. One in every 3-4 patients has suicidal thoughts one or more suicide attempts in every 6-8 patients.

What is BDD (Body Dysmorphic Disorder)? - Video





Body Dysmorphic Disorder and unnecessary plastic surgery enthusiasm


the number of people suffering from eden perception disorder is increasing day by day, as their symptoms are considered "normal” and they are not aware that they are pathological.

This syndrome causes people to feel and perceive themselves as ”ugly”. That's how they feel about their appearance, even if that's not the truth.

Not everyone likes a part of your body. he can find it beautiful or ugly. However, if this condition has made life unbearable to them because of an unnoticed defect, if it has turned life into poison because of a defect, it is called body perception disorder.

The main characteristic of body perception disorder is their intense mental dealing with an imaginary defect in appearance or trivial defects. Patients can focus on any body part or whole body volume.

If human relationships are disrupted due to default defects, if their lives are restricted in parallel with these perceptions and they are struggling to correct them, then the body perception disorder has begun.

  The individual's sense of body perception disorder often builds up in the person himself from puberty onwards. What one thinks about one's own, after all, becomes their own truth.

- The majority of people with body perception disorder are young people. They may start to have problems with changing and developing body structures during adolescence. In adolescence, however, dealing with one's body is part of its development. Young people may not like their height, their nose, their acne. They can compare themselves to others. The sense of body perception builds upon the person himself from childhood. What one thinks about one's own, after all, becomes their own truth. Feeling valued and self-esteem is one of the basic needs of man. It is an inevitable feeling to experience inadequacy in human life. Because man is not perfect and it is impossible to be perfect. Although body perception disorder may have started in childhood or adolescence, it is actually a lifelong problem.

The sense of self-confidence builds from childhood on one's own. What one thinks about one's own, after all, becomes their own truth. Feeling valued and self-esteem is one of the basic needs of man. It is an inevitable feeling to experience inadequacy in human life. Because man is not perfect and it is impossible to be perfect.

In the concept of body perception, there are many concepts such as the experiences, attitudes and feelings of individuals about their own bodies.

Lack of self-confidence, lack of self-confidence or lack of sense of body perception can often develop due to critical and dominant parental attitudes in childhood at home, in some cases after some negative life experiences at school or at work. During development, parents do not provide a healthy, supportive environment, or be very critical, over-expecting, demanding or over-protective of the child may be effective in the formation of a lack of self-confidence..Every parent wants their extension child to be perfect, but some of the parents ' behavior can be counterproductive, albeit with good intentions. The person may feel inadequate due to problems with his / her own body perception, in school life, friend relationships, and in the later years of the individual, and as a result, the problem of body perception disorder may be experienced.

Popular body image, anorexia, neurosis and body perception disorder, especially in western culture and partly in our society, are to some extent culturally related syndromes.

The ideal type of woman we see especially on social media, television, newspapers and billboards is thin and large-breasted (meta-female), while the ideal type of man is lean and muscular (meta-male).

It has been suggested that body perception disorder may be a form of expression of narcissism, as well as represent the replacement of biological values when moral standards are broken.

Although there is no information on the prevalence of the disease, which often begins in adolescence, it may take years to be recognized, this mind preoccupation, which is mostly in secret form, is more common than thought.

- Plastic surgery, shaping and reconstruction surgery. Correction of all physical disorders, either congenital or later, falls within the scope of this surgery. Cosmetic, plastic surgery is the best known parts of plastic surgery. In contrast to what is known today, the most important part of the field of plastic surgery is the subjects other than plastic surgery.

Just as the concept of aesthetics and beauty has changed over the years, the understanding of beauty is changing from society to society. What is considered aesthetic today is debatable. It is true that there is an aesthetic craze in the world and in our country today. And the number of women and young girls undergoing plastic surgery is growing exponentially. 

Especially in recent years, social media, cinema and television series, such as mass media through the sample people of the world of magazines, film artists and actresses or sports world famous people are brought to the prominence of intense programs are being made. The fact that people are constantly bombarding themselves with images through these means of communication triggers their aesthetic operations..

Clothing industry, cosmetics industry constantly market, create a negative effect on people's tastes with the perception of beauty is a fact

It is possible to influence and emotionally influence people with image and sound frequencies. .In today's world we need to unquestionably accept the fact that mass media affects and drives people emotionally. As well as the exaggerated emphasis of unrealistic body appearance on people through means of communication, the propositions of people touted as an unattainable perfection, and the presentation of an exaggerated virtual world in which success or happiness can only be achieved through these bodies.;  It is possible that the person's introverted, timid, insecure and passive personality structure, or being subjected to sarcastic remarks about physical appearance early in life, may also predispose to the development of body dysmorphic disorder.

However, recently, with technological developments and aesthetic operations becoming easily accessible and affordable, an ‘aesthetic craze’ in the dimension of addiction and obsession manifests itself. 

It is very normal for him to apply for plastic surgery, which is related to a disease or works to address congenital physical problems. Belief in abnormal ugliness has been reported to occur in many disorders including obsessive-compulsive disorder, personality disorders, somatoform disorders, schizophrenia, mood disorders.

Body Dysmorphic Disorder, or body perception disorder, is a problem manifested by a person's advanced preoccupation with a real but insignificant flaw in their physical appearance. 

Even if the patient has a small defect, the resulting distress is very severe compared to the defect. Patients ' anxiety about their body parts affects their entire lives in depth. Patients ' concerns are exacerbated in social settings.

The most common areas of the body are the face, hair, nose, skin and eyes, according to the incidence. About one-third of patients are confined to their homes because of these concerns, while about one-fifth attempt suicide. 

Studies in adolescents in particular concluded that approximately 50% had dysmorphophobic symptoms. A small number of these cases are severe enough to receive a clinical diagnosis.

The age of onset is between 15 and 20 years old. It is more common in women than in men and in singles than in married people. 

Surgical procedures, dermatological approaches or other medical treatments to treat so-called defects of patients with body dysmorphic disorder almost always fail. The same problems will continue after surgery. Because the problem is a mental, body-related perception disorder.Discussions with surgeons can go all the way to the courts when the perception in their minds does not change as a result of surgical intervention.

It is generally accepted that by surgical methods, the psychological problem cannot be solved by surgery


The way to overcome body perception disorder, the only way to gain self-confidence is to love one's self, to accept himself as he is, to enjoy himself with all his imperfections, to change your negative thoughts about oneself in short. Because you are the creator of your own life, you did it with your thoughts and you do it. Everything in your life, including the lack of sense of body perception, you have drawn everything into your life.  What you focus on with your thoughts and feelings draws you into your life and you experience it. You can't beat your complexes, your body-related perception disorders without being confident and therefore gaining self-confidence. You can't take action without defeating our fears. It is not possible to succeed without action. You say it's hard to change our minds. It can be seen at first glance. Your thoughts form your feelings, your feelings form your feelings. Your thoughts affect your body's image, functioning and health.

Rhinoplasty operation and other aesthetic procedures can be inconvenient or contraindicated!


Body Dysmorphic Disorder is one of the conditions that can be seen among patients applying for rhinoplasty. Patients with Body Dysmorphic Disorder; Since they may experience psychological problems after the rhinoplasty operation, therefore their satisfaction after the surgery will be low; It is necessary to distinguish whether their desire to have a rhinoplasty operation is a reflection of the underlying psychiatric disorder. These patients ignore their psychiatric problems because they have low insight, and often not at all, and somatize their psychological problems as a purely physical problem.

American ENT & HNS, published by the Academy of the recent "clinical practice Guideline: Improving Nasal form and function after Rinoplasty" in patients who want gastric bypass, surgery as a contraindication "diagnosing sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical intranasal vasoconstrictive drugs" should not be considered stressed (you can look >> Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty).

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