Body Dysmorphic Disorder (BDD) is characterized by an exaggerated preoccupation with a perceived defect in appearance. It is a person who, even after undergoing plastic surgery, may not be satisfied. It is very important, during the consultation, to identify this patient profile.

These are people who seek a result through surgery that will never be achieved; that is, even if the result is excellent, the patient will not see it and will always seek more and more procedures, potentially putting their life at risk. Anorexia and bulimia are similar disorders that also lead many women to seek liposuction.

It is very common to receive patients with BDD, and identifying this profile before the procedure is fundamental. In this way, we can align the patient's expectations with what can truly be achieved with plastic surgery. Before the procedure, I try to conduct three consultations with the patient, applying questionnaires that help me identify BDD, with the aim of hearing their desires and expectations related to the desired procedure, honestly detailing to the patient the extent to which we can go with the surgery.

*Dr. Fernando Amato is a plastic surgeon, a full member of the Brazilian Society of Plastic Surgery (SBCP), a member of the International Society of Aesthetic Plastic Surgery (ISAPS), and the American Society of Plastic Surgeons (ASPS).