Some people like to put their nose into everything they do. Look at Amanda Bynes. The 27-year-old actress claims she is having a series of cosmetic surgeries to remove “webbing” between her eyes and nose so that she can look good for her wedding.
The former Nickelodeon star has already undergone three nose jobs and had breast implants removed. She now hints that she intends to go under the knife for a few more procedures as part of her dramatic makeover.
More than a few celebrities have publicly expressed their concern for the starlet, some going so far as to say she has a mental illness. No one can say for sure. What is important to recognize are the debilitating effects of moderate to severe symptoms of body dysmorphic disorder (BDD), the excessive concern about appearance that interferes with daily living. Researchers say these traits can be found to some extent in a good number of patients seeking to improve the look of their nose.
Symptoms of BDD are especially common in patients with previous plastic surgery or mental health issues, according to a study in Plastic and Reconstructive Surgery, the official journal of the American Society of Plastic Surgeons. The study concludes that “the prevalence of BDD symptoms in a cosmetic rhinoplasty population is high and that the severity of symptoms has a clearly negative effect on daily functioning."
Research suggested that 33 percent of rhinoplasty patients had moderate to severe symptoms of BDD. The figure rose to 43 percent for patients who were seeking nose jobs solely for aesthetic reasons compared to those for partly functional concerns. By comparison, moderate to severe BDD symptoms were found in just 2 percent of patients undergoing nasal surgery for medical reasons.
Furthermore, 20 percent of patients had a previous rhinoplasty, and were more likely to have high BDD symptoms. These same patients also had a history of psychiatric problems. Researchers found the severity of BDD symptoms was unrelated to an objective evaluation of the nasal shape. In fact, many patients who were highly concerned about their appearance had a normal-looking nose or only minor defects.
Plastic surgeons routinely assess the motivations and mental health of patients seeking aesthetic procedures. Americans underwent some 243,000 nose jobs in 2012, the second most among cosmetic surgically performed procedures in the United States. Of particular concern is that rhinoplasty is growing in popularity among teenagers; thus, making it extremely important for plastic surgeons to diagnose when and if a potential candidate is ready.
The nose is at the focal point of the face and can hold the key to the symmetry and harmony of your appearance. Everyone’s nose varies greatly in size and shape. That said, not every nose is symmetric with other parts of the face, either. Some people are born with crooked noses or curves or bumps through no fault of their own. Others noses are perceived to be imperfect through accidents and trauma that can alter symmetry.
The good news is that there is no reason for you to get your nose out of joint about the way you look. Rhinoplasty can improve the look of most any nose. However, it is important to understand that the anatomy of the nose is complex. The goal of any procedure is to make the nose look attractive and fit your particular facial structure. Open communication with a certified plastic surgeon is imperative for realistic expectations, both physically and emotionally.
For more information or to request a consult with Dr. Nachlas contact Sandy Friedman, Director of Patient Relations at 561-939-0909.