The appearance of psychiatric disorders among plastic surgery patients
is well-known, and its frequency is higher than in other surgical bra
nches. There is evidence that these patients may suffer from body dysm
orphic disorder (BDD), a mental disorder characterized by excessive co
ncern about some imaginary or slight physical defect, causing signific
ant clinical discomfort, social deterioration, and losses in other imp
ortant areas of the individuals' activity. We present a typical case o
f BDD and discuss diagnostic criteria and the proper attitude the plas
tic surgeon should adopt toward this kind of patient.