Neelam A Vashi
Boston University, USA
Title: Understanding beauty and the approach to body dysmorphic disorder
Biography
Biography: Neelam A Vashi
Abstract
This lecture discusses the historical importance of beauty and offers an overview of the objective and subjective aspects of beauty to segue into a discussion of body dysmorphic disorder (BDD). The lecture will begin with an analysis of what the human eye finds aesthetically pleasing including symmetry, averageness, sexual dimorphism, skin homogeneity, and proportions. Also to be discussed are how these biologic perceptions can be reshaped through individual, cultural, and historical influences. The course will then focus on disorders of self perception, BDD, including a discussion of the history, epidemiology, symptoms, diagnosis including use of questionnaires, and implications for treating physicians. The lecture will conclude by providing an algorithmic approach to persons with suspected BDD and treatment options. BDD occurs in 1-2% of the general population and 6-15% of dermatology and cosmetic surgery patients. In a BDD cohort, 50% sought treatment from a dermatologist and 33% requested cosmetic surgery. These patients are often unhappy with results with over 90% reporting symptoms unchanged or worsened after cosmetic procedures. This disorder is under recognized and should be approached with both sympathy and empathy given the high rate of suicidal ideation in these patients. Recognition and appropriate referral key to management.