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    Obsessed with perfection

    Picture this: You've just performed a perfect procedure. And then, even though everything went right, one thing after another begins to go wrong.

    "Your patient hates the result, and the patient hates you," says plastic surgeon Mark B. Constantian, M.D., FACS. "You show her the preoperative photos and calmly explain what you did. She still hates you and thinks you're a liar and a crook, and she gets on the Internet and tells everyone."

    This scenario may sound familiar; you may be thinking body dysmorphic disorder (BDD).

    Dr. ConstantianDr. Constantian, who practices in Nashua, N.H., offers a deeper take. According to his new research, extreme dissatisfaction with plastic surgery procedures may have roots in an extraordinarily high rate of childhood trauma among cosmetic patients in general.

    "I've added a big piece about why some patients are obsessed with physical perfection or trying to fix problems that other people don't even see," Dr. Constantian tells Cosmetic Surgery Times. "It's not an unrecognized genetic abnormality or a neurotransmitter problem. They started off in an abusive situation."

    Dr. Constantian's research expands on existing knowledge about the close connection between BDD and plastic surgery. He discussed it this year at The Aesthetic Meeting of the American Society for Aesthetic Plastic Surgery.

    In This Article

    BDD Background

    Is BDD Linked to Childhood Trauma?

    Body Dissatisfaction vs. Body Shame

    NEXT: BDD Background


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