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Dermatol Res Skin Care 2017 | Volume 1 Issue 1
World
Dermatologist Summit and Skin Care Expo
October 30-31, 2017 | Toronto, Canada
Statement of the Problem:
According to the research of Cash
and Henry, about half of American females have a negative
evaluation of their own appearance. In German population-
based surveys, approximately 40% of female participants
reported that they had a preoccupation with one part of
their body appearance. This is arguably the main reason for
people undergoing aesthetic procedures. Culturally, Chinese
people would like to have a body image because this may
have positive effects in many ways (i.e. producing more job
opportunities, finding a partner more easily and enhancing
self-confidence). Hence, more Chinese are undergoing body
image change using aesthetic procedures. Nevertheless, not
these people have the correct perspective on their physical
appearance, such as patients with body dysmorphic disorder.
Objective:
To assess the prevalence of Body Dysmorphic
Disorder (BDD) in an aesthetic surgery setting in the region
of Southwest China, and to ascertain the differences in
terms of body images between patients in the aesthetic
setting and general Chinese population. This study tracked
patients’ satisfaction with their body image changes while
undergoing aesthetic medical procedures to identify
whether the condition of patients who were presenting
with BDD symptoms or their psychological symptoms could
be improved by enhancing their appearance. Additionally,
this study explored whether there was improvement in
Quality of Life (QoL) and self-esteem after aesthetic medical
procedures.
Methods:
106 female patients, who were undergoing
aesthetic medical procedures for the first time, were
classified as having body dysmorphic disorder symptoms or
not having body dysmorphic disorder symptoms, based on
the Body Dysmorphic Disorder Examination (BDDE), which
was administered preoperatively. These patients were
followed-up for one month after the aesthetic procedures.
Multidimensional Body Self-Relations Questionnaire-
Appearance Scales (MBSRQ-AS) and Rosenberg Self-esteem
Scale (RSE-S) were used to assess patients’ preoccupation
with appearance and self-esteem pre-procedure and one-
month post-procedure. Additionally, 100 female healthy
control participants were recruited as a comparative group
into this study and they were also assessed using BDDE,
MBSRQ-AS and RSE-S.
Results:
A total of 14.2% of 106 aesthetic patients and
1% of 100 healthy controls were diagnosed with BDD
to varying extents. BDDE scores were 72.83 (SD+30.7)
and 68.18 (SD+31.82) respectively in pre-procedure and
post-procedure for the aesthetic patient group and 43.44
(SD+15.65) for the healthy control group (F=34.28; p<0.001).
There was a significant difference between the groups in
subscales of MBSRQ-AS between groups. The study also
showed there were no significant differences in the scores
of BDDE, MBSRQ-AS and RSE-S of those fifteen aesthetic
patients diagnosed with BDD after aesthetic procedures
lasting one month.
Qiuyu Wang
Meijia Plastic Surgery Hospital, China
Avoiding psychological pitfalls in aesthetic medical procedures