TITLE:
Dysmorphophobic Patient Seeking Primary Cosmetic Rhinoplasty
AUTHORS:
Hashem Shemshadi
KEYWORDS:
Rhinoplasty; Dysmorphophobia; Cosmetic Surgery; Psychiatric Consultation
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.2 No.3,
May
24,
2013
ABSTRACT: This article is aimed to
elaborate the significance of detecting clinical features (subjectivity,
objectivity and assessment) of the Dysmorphophobic (DMP) psychiatric patients seeking
primary cosmetic rhinoplsty (PCR). DMP clients present as a fixation of their thoughts toward the trivial
flaws on their body’s anatomy. They consider such minor defects as
major and show a great amount of anxiety for such negligible issues. Such dread affects their social, occupational and
family’s life and trigger them to seek means of correcting such small blemishes
through medical and or surgical approaches. Considering to their nose, they crave to eliminate their minor defects through PCR operation. PCR is viewed as one of the most
prevalent aesthetic operations in the field of cosmetic surgery. Author’s method of
approach in PCR is to select candidates after obtaining a meticulous health
history, physical exam and appropriate para clinical tests. In some uncertained
cases, based on their subjectivity and objectivity presentations, are referred for consultation
with a psychiatrist for final assessment. Most selected patients undergo PCR
via standby anesthesia through an incision on the nasal columella (open rhinoplasty),
or in others which their nasal tip alternation is not needed, PCR is approached
with no incision on the nasal columella (closed rhinoplasty). Due to the high demand of PCR in the
world, among many clients who are seeking for such surgery, might be some cases with DMP
disorder who are overlooked in spite of an accurate surgeon’s screening.