British Association of Aesthetic Plastic Surgeons (BAAPS), has issued a checklist of 8 warning signs to recognize patients with serious body image problems. The checklist has been issued in wake of sudden spurt of cosmetic procedures by 35% in the year 2004-2005 and false believes and unrealistic expectations prevailing over the cosmetic procedures. People with body dysmorphic disorder are excessively worried about a part of their body that they perceive has a defect. They may be dissatisfied with any area of their body, but most are unhappy with
parts or all of the face.

The 8-negative signs that plastic surgeons should take note of when dealing with patients are:

a. Patients who imagine a defect, which is really not a defect.
b. Too much concern about a minor blemish or flaw
c. A perceived flaw which is causing significant distress and impair social or working life
d. When their preoccupation is not accounted for by another mental disorder
e. Too many consultations for plastic surgery and surgical procedures
f. Unrealistic expectations about the outcome of the surgery, such as wanting to look like a hollywood movie star
g. Lack of clarity about their goals for the procedure