Sometimes people with BDD are exaggerating a slight defect of the face, buttocks, or hairline, perceiving it as grotesquely disproportionate and offensive. In other cases, an asymmetry in the eyes becomes a deformity; Bulky arms or thighs look horrible and frightening.
Few of us are truly satisfied with our bodies. Liposuction, facial peels, permanent eyeliner and blush, hair implants, electrolysis, and a panoply of procedures to help the insecure feel a little more confident. But the two million Americans with TDC They go beyond normal concerns about physical appearance. Instead, preoccupation with ugliness dominates much of his thinking. They avoid work and social commitments lest they offend others with their appearance. Many BDD patients constantly seek comfort from their family members.
Hair, nose, skin, buttocks, eyes and thighs are the aspects that most frequently concern patients with BDD. The average patient has distorted vision in three to four different parts of the body over the course of the disorder. They do not realize that their deformation is a problem of perception not anatomy.
In some cases, cognitive therapy improves the likelihood of success. In general, treatment can reduce the intensity of BDD symptoms in at least 50% of patients.
Reference: Chosak A, Marques L, Greenberg JL, et al. Body dysmorphic disorder and obsessive-compulsive disorder: similarities, differences and the classification debate. Expert Rev Neurother 2008; 8:1209-1218
I leave you a video with a plastic surgeon's opinion of this disorder: