Motivational factors of women seeking labiaplasty are various. Some patients may have Body dysmorphic disorder (BDD). Psychological evaluation of patients with BDD is not standard in clinical plastic surgery nowadays. BDD needs to be identified before surgery in patients who are seeking cosmetic corrections and it is necessary to identify those who may require further psychological assessment. There is a grooming consensus that BDD should be considered as a contraindication for cosmetic treatments. Clinicians should use a multidisciplinary approach in management, including cooperation among specialists in dermatology, psychiatry, cosmetic surgery, family practice and other specialties.
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