Body dysmorphic disorder - Pathological dissatisfaction with self-image and the search for aesthetic procedures

• Autor(a) principal: Campos, João Heli
• Data de Publicação: 2021
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Aesthetic Orofacial Science
• Texto Completo: https://ahof.emnuvens.com.br/ahof/article/view/37
• topic: transtorno dimórfico corporal; comorbidade; epidemiologia; body dysmorphic disorder; comorbidity; epidemiology; suicide; trastorno dismorfico corporal; comorbilidades; epidemiología; suicidio

Objective: to list characteristics of body dysmorphic disorder and to warn about the importance of dealing with this disorder so prevalent among patients seeking aesthetic procedures. Context: the present bibliographic review was carried out in a context that increases both the number of procedures and different professionals that reach this market. Literature review: Body Dysmorphic Disorder designates the difference between what the individual believes to be in relation to his self-image and what he really is. Enrico Morselli¹⁵ (1891) describes who has dysmorphophobia as an unhappy individual who might experience attacks of pain and anguish that lead to despair. Extreme cases of the disorder can increase the chance of suicide from 6 to 45 times. Childhood trauma, bullying, mistreatment, emotional, physical and/or sexual abuse, low levels of parental attention can be part of these patients' life history. Twenty percent (20%) of young people with BDD can drop out of school. The psychiatric is sought late and after the patient has made undue visits to plastic surgeons, dentists and dermatologists and has undergone unnecessary procedures. The influence of social media and screen time seems to be a factor in decreasing the perception of body image. The risk of suicide is high, especially when the corrective surgery fails. The aesthetic medicine works with post-surgical rehabilitation techniques that provide the construction of body image, rehabilitation and the promotion of individuals' physical, mental and social health. Conclusion: taking the patient with BDD to the psychiatrist increases the effectiveness of aesthetic treatment in addition to avoiding patient dissatisfaction, decreasing suicidal ideation, consummated suicide and avoiding lawsuits. The symptoms of BDD in young people are common and the risks of coexisting psychopathological comorbidities increase in young people with positive triage for BDD.