Abstract
BackgroundRhinoplasty is one of the most common cosmetic surgeries performed on the face; seeking this operation can be influenced by socio-cultural factors, personality factors, and psychiatric morbidity. The purpose of this study is to identify the prevalence and profile of psychiatric morbidities that would present among those individuals seeking rhinoplasty and to recognize the importance of preoperative psychiatric assessment.Results50.8% of the study sample fulfilled the DSM-IV criteria for Axis I and Axis II psychiatric disorders. The most prevalent diagnosis among the whole group was mixed personality disorder (15.2%) followed by body dysmorphic disorder (10.2%), borderline personality disorder (6.8%), and then anxiety disorders (5%). Data revealed that female non-married subjects who were performed with a previous cosmetic operation suffered significantly from psychiatric morbidity. Subjects with psychiatric morbidity showed significant (P, 0.000) higher scores in MBSRQ health orientation and weight preoccupation than their non-psychiatric counterparts.ConclusionThis study demonstrated a high prevalence of psychiatry morbidity in individuals requesting rhinoplasty. It seems important to screen individuals for mental health problems preoperatively to detect crucial psychiatric problems; thus, we can avoid subsequent risk for both individuals and cosmetic surgeons.
Highlights
Rhinoplasty is one of the most common cosmetic surgeries performed on the face; seeking this operation can be influenced by socio-cultural factors, personality factors, and psychiatric morbidity
Psychiatric disorders were diagnosed in 32% of patients seeking cosmetic surgery in a study done by Hayashi and coworkers [5]
When we attempted to study some demographic variables related to the pattern of psychiatric morbidity in patients requesting rhinoplasty, we found that female patients suffered more frequently from either Axis II disorder (70%) (P = 0.03) or comorbid Axis I and II disorders
Summary
Rhinoplasty is one of the most common cosmetic surgeries performed on the face; seeking this operation can be influenced by socio-cultural factors, personality factors, and psychiatric morbidity. Dissatisfaction from facial appearance can occur due to various factors including socio-cultural factors, personality factors, or as a part of different psychiatric diagnoses [3]. The prevalence of the psychiatric morbidity among patients consulting for different cosmetic procedures reached up to 47.7% in an earlier study, and in more recent studies, the incidence of psychiatric morbidity was found to be less [4]. Psychiatric disorders were diagnosed in 32% of patients seeking cosmetic surgery in a study done by Hayashi and coworkers [5]. A more recent published population-based study that follows more than 1500 females who underwent cosmetic surgeries over a period of 13 years revealed the presence of several psychiatric symptoms, including symptoms of depression and anxiety, history of self-harm, parasuicide, and use of illicit drugs [6]
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