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In their new study, the researchers report that in a small retrospective study of 200 individuals with BDD, 31 percent sought and 21 percent received surgical or minimally invasive treatment for BDD symptoms. Nearly all of these individuals continued to have BDD symptoms, and some actually developed new appearance preoccupations. They also note that in a survey of 265 cosmetic surgeons, 178 (65 percent) reported treating patients with BDD, yet only one percent of the cases resulted in BDD symptom improvement. Phillips, who is also a professor of psychiatry and human behavior at The Warren Alpert Medical School of Brown University, says, "These findings, coupled with reports of lawsuits and occasionally violence perpetrated by persons with BDD towards physicians, have led some to believe that BDD is a contraindication for cosmetic treatment."

Body dysmorphic disorder is “characterized by persistent and intrusive preoccupations with an imagined or slight defect in one's appearance,” the Anxiety and Depression Association of America explains . Although many people have a physical feature they don’t like, that dislike in a person with BDD will interfere with their life because they cannot control their obsession, and “think about their real or perceived flaws for hours each day.”

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