Body Dysmorphic and Narcissistic Personality Disorder in Cosmetic Rhinoplasty Candidates

Aesthetic Plast Surg. 2022 Feb;46(1):332-337. doi: 10.1007/s00266-021-02603-x. Epub 2021 Nov 24.

Abstract

Background: Body dysmorphic disorder (BDD) and other psychological problems are more common in cosmetic surgery applicants.

Objective: The aim of this study was to investigate the frequency of the symptoms of BDD and narcissistic personality disorder in rhinoplasty candidates.

Materials and methods: This descriptive cross-sectional study was performed on rhinoplasty applicants. All subjects were evaluated by BDD and narcissistic personality questionnaires (NPI-16).

Results: A total of 380 patients were studied. Our findings showed that the prevalence of mild, moderate, and severe BDD symptoms was 31.6%, 43.4% and 25%, respectively. The mean BDD scores were not significantly different in variables such as gender, age, marital status, history of cosmetic surgery, education, place of residence, and income. 29.5% of the subjects had symptoms of narcissism. There was no significant relationship between the symptoms of narcissism and variables such as gender, age, marital status, history of cosmetic surgery, place of residence, and income. Higher education was associated with higher rates of narcissistic personality disorder (p-value = 0.021).

Conclusions: According to the results of the study, there was no statistically significant relationship between BDD score and demographic parameters. Also, association between narcissistic personality disorder and demographic characteristics was not significant except for education.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Keywords: Body dysmorphic disorder; Narcissistic personality disorder; Personality disorders; Plastic surgery; Rhinoplasty.

MeSH terms

  • Body Dysmorphic Disorders* / diagnosis
  • Body Dysmorphic Disorders* / epidemiology
  • Body Dysmorphic Disorders* / psychology
  • Cross-Sectional Studies
  • Humans
  • Personality Disorders / diagnosis
  • Personality Disorders / epidemiology
  • Personality Disorders / surgery
  • Rhinoplasty* / psychology
  • Surgery, Plastic* / psychology