Tag Archives: bdd

Celebrity News, Facial Plastics

Celebrity Update: Amanda Bynes’ Nose Job: BD or BDD?

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Amanda Bynes has been tweeting about her nose job, stating that she had it to correct a “birth defect.”  As a facial plastic surgeon, Dr. Yagoda is an expert on cosmetic nasal surgery.  She can perform a cosmetic rhinoplasty (nose job) to straighten a crooked nose, remove a bump, raise or lower the bridge, narrow the nostrils, refine the nasal tip, lift a droop, fix a cleft, and create symmetry.  While rhinoplasty can provide many changes, it does not do what Amanda suggested — remove webbing from the eyes!As an otolaryngologist (ear, nose and throat expert), Dr. Yagoda can also make functional corrections to the nose.  She can straighten a deviated septum and reduce turbinates to improve airflow, correct sinus disease and relieve sleep apnea to enhance restful sleep. Even a combined functional and cosmetic nasal surgery would not affect your eyes. You would need eye surgery for that.

So, is Amanda Bynes’ rhinoplasty (that really doesn’t correct webbing) for a birth defect or “BD”?  Or, is it likely because of “BDD” body dysmorphic disorder? Given her reckless behavior, we think that body dysmorphic disorder is a real possibility.  BDD is a form of mental illness, when someone obsesses about perceived flaws in appearance that are either non-existent or too small for other people to notice.  BD or BDD?  What do you think?

Photo credit: LostStars.co

Facial Plastics

Identifying Body Dysmorphic Disorder: Who “Nose”?

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Rhinoplasty or nose job surgery is not only one of the most difficult facial plastic surgeries to perform, but the results can also change a person’s appearance the most drastically. Of course, many who seek this plastic surgery procedure desire exactly that–but a new study reveals that 33% of patients considering cosmetic nose job surgery show symptoms of a chronic condition called body dysmorphic disorder (BDD).

p4BDD is a type of mental illness in which negative thoughts of body image overwhelm someone to the point that it negatively affects his or her life, getting in the way of healthy relationships, careers, and socializing. The disorder can lead to suicidal thoughts, eating disorders, depression, anxiety and — as seen in this study — unnecessary cosmetic surgery.

Because the rate of BDD is so high in rhinoplasty patients (and even higher in those patients who have already had a nose job previously),  it is especially important for the doctor to take a detailed psychological evaluation during the consultation to make sure that the patient is mentally healthy before authorizing this plastic surgery procedure. Rhinoplasty is a team approach: you, the patient, have to come in with realistic expectations and sound motivation, and I, the facial plastic surgeon, will provide noticeable and natural results.