In today’s world, images in media and online platforms often emphasise physical appearance. This can influence how we feel about ourselves and increase interest in cosmetic procedures. While cosmetic treatments can be appropriate for many people, some individuals may have underlying mental health concerns that need to be addressed before any procedure is considered. One of these conditions is Body Dysmorphic Disorder (BDD).
What Is Body Dysmorphic Disorder (BDD)?
BDD is a recognised mental health condition where a person experiences ongoing distress about a perceived flaw in their appearance. This perceived flaw may be minor or not visible to others, yet it can cause significant emotional distress and affect daily functioning.
Signs that may suggest BDD include:
- Persistent thoughts about a specific body part or feature
- Repeated mirror checking or seeking reassurance from others
- Avoidance of social situations due to appearance concerns
- Spending significant time comparing appearance with others
- Seeking cosmetic procedures repeatedly without feeling satisfied
BDD is listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) under obsessive-compulsive and related disorders.
Areas of Concern Commonly Associated With BDD
BDD can be linked to concerns about any body part. Common focus areas may include:
- Skin (including wrinkles, ageing, scars, pigmentation, acne)
- Nose
- Hair (density, hairline)
- Facial symmetry
- Scars from surgery or injury
Some people with BDD may request cosmetic treatments such as liposuction, facial cosmetic surgery, skin resurfacing, mole removal, or other procedures. These requests may not resolve their underlying distress.
Why BDD Matters in Cosmetic Practice
When a person has BDD, cosmetic procedures alone are unlikely to address the cause of distress. In some cases, procedures may even worsen the problem by reinforcing the focus on perceived flaws.
Possible indicators for practitioners include:
- A history of multiple treatments with ongoing dissatisfaction
- Strong emotional responses when discussing a perceived flaw
- Unrealistic expectations of treatment results
- Difficulty accepting professional advice or alternative options
Ethical Approach at The DOC Clinic
At The DOC Clinic, our priority is to ensure treatments are in the patient’s best interests. If BDD or another mental health concern is suspected during consultation:
- We may recommend postponing treatment
- Referral to a GP, psychologist, or psychiatrist may be suggested
- Any treatment decisions are made with the patient’s overall wellbeing in mind
Steps for Individuals Considering Cosmetic Treatment
If you are thinking about cosmetic treatment, consider:
- Your reasons for seeking the procedure
- Whether you have had long-term concerns about the same feature
- Whether you feel anxious, socially withdrawn, or distressed about your appearance
- Speaking to a GP or mental health professional before making a decision
Important Notes
- Cosmetic treatments can improve certain physical features, but cannot address underlying mental health issues such as BDD.
- A thorough consultation is essential to discuss realistic outcomes, risks, and alternatives.
- Treatment recommendations are individualised and not guaranteed to produce a specific cosmetic or psychological result.
If you or someone you know is experiencing distress related to body image, support is available:
- Beyond Blue – 1300 224 636
- Lifeline – 13 11 14
- Butterfly Foundation – 1800 33 4673
Disclaimer: This article provides general information and is not a substitute for professional advice. Outcomes and experiences vary between individuals. A consultation with a qualified, experienced cosmetic doctor is necessary before deciding on any cosmetic procedure.
For information about consultations at The DOC Clinic, visit www.thedoc.com.au or call (03) 9021 6022.
