SOLVED758

A 15-year-old girl presents to a plastic surgeon with a request for rhinoplasty. The plastic surgeon has successfully operated on the girl’s mother in the past for skin grafting related to severe burns that the mother sustained in a house fire. The girl is convinced that her nose is too large as compared to her peers. She also believes that her ears are somewhat misshapen and that her eyes are too close together. She has increasingly isolated herself and tries to avoid eye contact with others. Her mother and other relatives have assured her that she is pretty and that she has normal features, but she does not believe them. She has become increasingly depressed due to these beliefs and, as a result, her mother has agreed to consider rhinoplasty. The plastic surgeon assesses that overall her features are normal. However, she shows him a picture of the nose that she would prefer, and the surgeon advises that it would be possible to modify her nose to approximate the picture. Both the mother and daughter would like to schedule the surgery, but the plastic surgeon requests a psychiatry consult before deciding whether he is willing to proceed with the surgery.
SCIENCE
HEALTH SCIENCE
NURSING

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