Body Dysmorphic Disorder

Newsmakers: Mark Constantian, MD

Dr. Mark Constantian's new book chronicles the link between childhood trauma, shame and plastic surgery addiction.
Childhood trauma and plastic surgery

"In the early 1990s I saw three rhinoplasty patients within a few months who all had exemplary results, and they all were distraught afterwards,” says plastic surgeon Mark B. Constantian, MD. “One man tried to cut his nose off with a razor and ended up in the emergency room. One woman became a recluse in her home. Another woman gave up her job as a university professor. After surgery they either hated themselves or me, yet they were all positive that if I would only operate again, they would be OK.”

When the Mirror Lies

How to recognize and respond to patients with body dysmorphic disorder.
MedEsthetics Jan/Feb When the Mirror Lies

Every cosmetic provider has repeat patients. But not all of those “regulars” are satisfied customers hoping to wind back the clock a few years or improve upon Mother Nature. Some people who seek multiple cosmetic procedures have a widespread, but under-diagnosed, mental-health condition known as body dysmorphic disorder (BDD). People with BDD have a distorted perception of their appearance, leading to an obsessive preoccupation with minimal or imagined flaws.