A comparison of body image concern in candidates for rhinoplasty and therapeutic surgery

Authors

  • Behnoosh Edalatnoor Medical Student, Medical School, Islamic Azad University of Shahrood, Shahrood, Iran

Keywords:

Body Image Concern; Rhinoplasty; Therapeutic Surgery

Abstract

Background: Body dysmorphic disorder among patients referring for cosmetic surgeries is a disorder that if not diagnosed by a physician, can cause irreparable damage to the doctor and the patient. 

Objective: The aim of this study was to compare body image concern in candidates for rhinoplasty and therapeutic surgery.

Methods: This was a cross-sectional study conducted on 212 patients referring to Loghman Hospital of Tehran for rhinoplasty and therapeutic surgery during the period from 2014 through 2016. For each person in a cosmetic surgery group, a person of the same sex and age in a therapeutic surgery group was matched, and the study was conducted on 60 subjects in the rhinoplasty group and 62 patients in the therapeutic surgery group. Then, the Body Image Concern Inventory and demographic data were filled by all patients and the level of body image concern in both groups was compared. Statistical analysis was conducted using SPSS 16, Chi-square test as well as paired-samples t-test. P-value of less than 0.05 was considered statistically significant.

Results: In this study, 122 patients (49 males and 73 females) with mean age of 27.1±7.3 between 18 and 55 years of age were investigated. Sixty subjects were candidates for rhinoplasty and 62 subjects for therapeutic surgery. Candidates for rhinoplasty were mostly male (60%) and single (63.3%). Results of the t-test demonstrated that body image concern and body dysmorphic disorder were higher in the rhinoplasty group compared to the therapeutic group (p<0.05).

Conclusion: Results of this study showed that the frequency of rhinoplasty candidates is higher in single male subjects. In addition, body image concern was higher in rhinoplasty candidates compared to candidates for other surgeries. Visiting and correct interviewing of people who referred for rhinoplasty is very important to measure their level of body image concern to diagnose any disorders available and to consider required treatments.

References

Wolpe PR. Treatment, enhancement and the ethics of neurotherapeutics. Brain Cogn. 2002; 50: 382-95.

doi: 10.1016/S0278-2626(02)00534-1. PMID: 12480485.

Jourabchi K. Rhinoplasty. Yes or No? 1th ed. Tehran: Pour Sina; 1999: 11-84.

Patton GC, Selzer R, Coffey C, Carlin JB, Wolfe R. Onset of adolescent eating disorder: popultion based

cohort study over 3 years. BMJ. 1999; 318(7186): 767-68. doi: 10.1136/bmj.318.7186.765. PMID:

PMCID: PMC27789.

Sarwer DB, Creand CE, Didie E. Body dysmorphic disorder in cosmetic patient. Facial Plast Surg. 2003;

(2): 7-18. doi: 10.1055/s-2003-39137. PMID: 12739178.

Cash TF, Phillips KA, Santos MT, Hrabosky JI. Measuring” negative body image”: validation of the body

image disturbance questionnaire in a nonclinical population. Body Image. 2004; 1(4): 363-72. doi:

1016/j.bodyim.2004.10.001.

Brozekoeski DL, Bayer AM. Body image and media use among adolescents. Adolscent Med Clinics. 2005;

(2): 230-89. doi: 10.1016/j.admecli.2005.02.010. PMID: 16111619.

Meymaneh Jahromi A, Noorolahian M, Seyyedi M, Salehi M, Afzalaghaei M. Comparison between

external and internal lateral osteotomy regarding postoperative edema and ecchymosis in rhinoplasty. The

Iranian Journal of Otorhinolaryngology. 2006; 18: 73-9.

American Society for Aestetic Plastic Surgery. Cosmetic Surgery National Databank; Statistics 2009.

Liposuction no longer the most popular surgical procedure according to new statistics.

Slevec J, Tiggemann M. Attitudes toward cosmetic surgery in middle-aged women: Body image, aging

anxiety, and the media. Psychlo Women Q. 2010; 34: 65–74. doi: 10.1111/j.1471-6402.2009.01542.x.

Philips KA. Body dysmorphic disorder: the distress of imagined ugliness. Am J Psychiatry. 1991; 148:

-49. doi: 10.1176/ajp.148.9.1138. PMID: 1882990.

Baumann Ingo. Quality of life before and after septoplasty and rhinoplasty. GMS Curr Top

Otorhinolaryngol Head Neck Surg. 2010; 9: Doc06. doi: 10.3205/cto000070. PMID: 22073110, PMCID:

PMC3199828.

Sahin C, Yilmaz O, Bayram Y, Karagoz H, Sever C, Kulahci Y, et al. Patient Selection in Plastic Surgery:

Recognizing Body Dysmorphic Disorder. Clin Exp Surg. 2013; 2(2): 109-15.

Buhlmann U, Glaesmer H, Mewes R, Fama JM, Wilhelm S, Brähler E , et al. Updates on the prevalence of

body dysmorphic disorder: A population-based survey. Psychiatry Res. 2010; 178(1): 171-5. doi:

1016/j.psychres.2009.05.002. PMID: 20452057.

Rief W, Buhlmann U, Wilhelm S, Borkenhagen A, Brähler E. The prevalence of body dysmorphic

disorder: a population-based survey. Psychol Med. 2006; 36(6): 877-85. doi:

1017/S0033291706007264. PMID: 16515733.

Koran LM, Abujaoude E, Large MD, Serpe RT. The Prevalence of Body Dysmorphic Disorder in the

United States Adult Population. CNS Spectr. 2008; 13(4): 316-22. PMID: 18408651.

Veale D1, De Haro L, Lambrou C. Cosmetic rhinoplasty in body dysmorphic disorder. Br J Plast Surg.

; 56(6): 546-51. PMID: 12946372.

Sclafani AP. Psychological aspects of plast surgery. J Med. 2003; 24: 1101-14.

Chalebandi M, Afkham Ebrahimi A. Personality pattern in Cosmetic rhinoplasty patients. J Andishe and

Raftar. 2004; 9(4): 4-10.

Littleton HL, Axom DS, Pury CL. Development of the Body Image Concern Inventory. Behav Res Ther.

; 43: 229- 41. doi: 10.1016/j.brat.2003.12.006. PMID: 15629752.

Mohammadi N. The evaluation of psychometric properties of body image concern inventory and

examination of a model about the relationship between body mass index, body image dissatisfaction and

self-esteem in adolescent girls. Faculty of education and psychology, Al-Zahra University. 2007: 3(1).

Ghadakzadeh S, Ghazipour A, Khajeddin N, Karimian N, Borhani M. Body Image Concern Inventory

(BICI) for identifying patients with BDD seeking rhinoplasty: using a Persian (Farsi) version. Aesth Plast

Surg. 2011; 35: 989–94. doi: 10.1007/s00266-011-9718-8. PMID: 21491168.

Fredrick DA, Lever J, Peplau J, Letita A. Intrest in cosmetic Surgery and body image: view of men and

woman across the lifespan. Plast Reconstr Surg. 2007; 120(5): 1407-15. doi:

1016/j.otohns.2007.02.027. PMID: 17898621.

Zojaji R, Javanbakht M, Ghanadan A, Hossien H, Sadeghi H. High prevalence of personality abnormalities

in patients seeking rhinoplasty. Otolaryngol Head Neck Surg. 2007; 137(1): 83-7. doi:

1016/j.otohns.2007.02.027. PMID: 17599571.

Babuccu O, Latifoglu OA, Tabay K, Oral N, Cosan B. Sociological aspects of rhinoplasty. Aesthic Plast

Surg. 2003; 27(1): 44-9. doi: 10.1007/s00266-002-1517-9. PMID: 12789458.

Zahairedin AR, Khaliqi Sigarody E. The relationship between mental health and self – concept with

demand for rhinoplasty. Inquiring. 2003; 8: 355-9.

Adams J. Motivational narratives and assessments of the body after cosmetic surgery. Qual Health Res.

; 20: 755–67. doi: 10.1177/1049732310362984. PMID: 20207954.

Sugar M. Female adolescent development, New York: Brunner Mazel. 2003: 859.

Mccabe M. Ricciardelli L. Body image and body change techniques among adolescent Male. Eur Eat

Disorder Rev. 2001; 9(5): 335-47. doi: 10.1002/erv.389.

Rubinstein G. The big five and self-esteem concept among overweight dieting and non-dieting women. Eat

Behav. 2006; 7(4): S55-61.

Petrie T, Rogers R. Extendirg the discussion of eating disorder to include men and physical appearance

over the life span. Personality and Social psychology Bulletin. 2001; 16: 263-73.

Aramats CA, Moran L, Sands RT. Gender differences in body image concerns and Depression amongst

Austalian adolescents. The abstracts of the 38th conference of the Australian psychological Society.

Australia, perth. Melbourne: Australian Psychological Society; 2003:163.

Freda I, Gamze A. Social phobia among university students and its relation to self- Esteem and body

image. Can J Psychiatry. 2004; 49(9): 630-4. doi: 10.1177/070674370404900910. PMID: 15503736.

Richardson LP, Arison MM, Drangsholt M, Manol L, LeResch L. Association between depressive

symptoms and obsesity during puberty. Gen Hosp Psychiatry. 2006; 28(4): 313-20. doi:

1016/j.genhosppsych.2006.03.007. PMID: 16814630.

Webster J, Triggerman M. The relationship between women body statisfaction and self-image across the

life span: the role of cognitive control. J Genet psychol. 2003; 164(2): 241-53. doi:

1080/00221320309597980. PMID: 12856818.

Von soest IL. Effects of cosmetic surgery on body image, self-esteem, and psychological problems. J Plast

Reconstr Aesthet Surg. 2009; 62(10): 1233-44. doi: 10.1016/j.bjps.2007.12.093.

Published

2022-02-12