{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T17:33:26Z","timestamp":1793986406795,"version":"4.8.0"},"reference-count":44,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T00:00:00Z","timestamp":1658275200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Healthcare"],"abstract":"<jats:p>Body dysmorphic disorder (BDD) is an obsessive-compulsive disease, associated with increased addressability to plastic surgeons; however, as patients perceive body defects due to decreased insight, they are often unsatisfied with their appearance after cosmetic surgery. The purpose of this study is to evaluate the ethical reasoning that should be performed before accepting these patients as cosmetic surgery candidates. We will focus our analysis on three main areas of interest: autonomy, which in these patients is significantly decreased, beneficence as satisfaction, which in these particular patients does not justify performing the intervention, and loyalty, which should render cosmetic procedures immoral in patients with body dysmorphic disorder.<\/jats:p>","DOI":"10.3390\/healthcare10071345","type":"journal-article","created":{"date-parts":[[2022,7,20]],"date-time":"2022-07-20T11:22:24Z","timestamp":1658316144000},"page":"1345","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Ethical Challenges Regarding Cosmetic Surgery in Patients with Body Dysmorphic Disorder"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4130-9402","authenticated-orcid":false,"given":"Sorin","family":"Hostiuc","sequence":"first","affiliation":[{"name":"Department of Legal Medicine and Bioethics, Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 042122 Bucharest, Romania"},{"name":"\u201cMina Minovici\u201d National Institute of Legal Medicine, 042122 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9370-6982","authenticated-orcid":false,"given":"Oana-Maria","family":"Isail\u0103","sequence":"additional","affiliation":[{"name":"Department of Legal Medicine and Bioethics, Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 042122 Bucharest, Romania"},{"name":"\u201cMina Minovici\u201d National Institute of Legal Medicine, 042122 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8723-0540","authenticated-orcid":false,"given":"Mugurel Constantin","family":"Rusu","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Faculty of Dental Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6950-9599","authenticated-orcid":false,"given":"Ionut","family":"Negoi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, \u201cCarol Davila\u201d University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,20]]},"reference":[{"key":"ref_1","first-page":"736","article-title":"Psychosomatische st\u00f6rungen bei kosmetischen operationen","volume":"5","author":"Harth","year":"2007","journal-title":"JDDG-J. 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