Although there is often a need forreassurance with regard to perceived flaws, the constant belief thatone is ugly, unattractive, or even repulsive surmounts the patient’sentire thought process and reassurance or negation of the defect isof minimal to no consequence (Table 1; Varma and Rastogi, 2015).Additional clues to support a diagnosis include seeking unnecessarydermatological treatment or cosmetic surgery.