Prevalence of Body Dysmorphic Disorder in Plastic Surgery and Dermatology Patients: A Systematic Review with Meta-Analysis

Aesthetic Plast Surg. 2017 Aug;41(4):964-970. doi: 10.1007/s00266-017-0869-0. Epub 2017 Apr 14.


The aim of the present study was to evaluate the prevalence of body dysmorphic disorder in plastic surgery and dermatology patients, by performing a systematic review of the literature and meta-analysis. The most relevant studies published originally in any language were analyzed. The literature search was performed using the PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and Scielo databases. The final sample comprised 33 publications that were submitted to meta-analysis. The study verified that 15.04% of plastic surgery patients had body dysmorphic disorder (range 2.21-56.67%); patient mean age was 34.54 ± 12.41 years, and most were women (74.38%). Among dermatology patients, 12.65% (range 4.52-35.16%) had body dysmorphic disorder; patient mean age was 27.79 ± 9.03 years, and most were women (76.09%). Both plastic surgeons and dermatologists must adequately assess their patients to identify those with a higher likelihood of body dysmorphic disorder and should arrange multidisciplinary care for such individuals.

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Keywords: Body dysmorphic disorder; Dermatology; Plastic surgery; Prevalence.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Age Factors
  • Body Dysmorphic Disorders / diagnosis
  • Body Dysmorphic Disorders / epidemiology*
  • Body Dysmorphic Disorders / psychology
  • Dermatologic Surgical Procedures / psychology
  • Dermatologic Surgical Procedures / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Prevalence
  • Risk Assessment
  • Sex Factors
  • Surgery, Plastic / psychology
  • Surgery, Plastic / statistics & numerical data*
  • United States