The plastic surgery addicts' compulsion for perfection stems from the preoccupation with a negative body image. It usually begins with a little nip or tuck, and while many walk away satisfied, plastic surgery addicts always want more.

The question is: Is it the surgeon's responsibility to say "no" to someone who has had countless cosmetic surgeries? Like the bartender who "cuts off" the person who has had too much to drink, does the surgeon decide when to draw the line? Should patients have the right to have as many surgeries as they are willing to pay for, even when a compulsion for perfection is obvious?

Plastic surgery is a multi-billion dollar industry. In 2000, a survey conducted by the American Society of Plastic Surgeons (ASPS) concluded that two-thirds of patients have had more than one cosmetic procedure. The numbers are increasing at an alarming rate; ASAPS reported that, during 2002-2003, 7 million women (16% increase from 2002) and 1.1 million men (31% increase) had plastic surgery.

Although a number of celebrities, including Michael Jackson, deny that they have had plastic surgery, it is safe to say that people in the spotlight feel the pressure of perfection due to mass media scrutiny. Celebs such as Pamela Anderson, Demi Moore and Sharon Osbourne, as well as some male celebs such as Bruce Jenner and David Gest have had multiple plastic surgeries.

Body Dismorphic Disorder (BDD)

BDD is a negative preoccupation with physical appearance, most often in a highly-exaggerated way. Many who suffer from this disorder are at a greater risk of becoming plastic surgery addicts. Individuals with BDD display symptoms similar to those who are diagnosed with OCD (Obsessive Compulsive Disorder). They usually come off as self-obsessed or self-absorbed; however, they suffer immensely over what they believe to be their imperfections. BDD interferes with daily functions in a significant way.

BDD Symptoms

- Enterprising in obsessive grooming rituals
- Examining and picking at the skin
- Staring at self-reflections continuously
- Avoiding social gatherings due to feelings of ugliness
- Undergoing multiple plastic surgeries

Someone with BDD will not; "grow out of it". Professional counselling is not just advisable but necessary in order to deal with this affliction. Plastic surgery addicts suffering from BDD will put themselves in serious debt and do whatever they have to do in their attempt to make peace with their bodies. No amount of plastic surgery will ever suffice.

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