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Dr Kaur added an aesthetic practitioner with BDD, "may focus on one aspect of the person rather than the whole face as holistic treatment".

She said while there were no studies on the risk of an aesthetic practitioner with BDD on patient welfare, she believed they were not a risk to patient health.

Dr Kaur concluded by saying patients with BDD should be supported and referred for mental health treatment, but not treated by an aesthetic practitioner.

Dr Michael Prager said a lot of his industry peers were "unrecognisable" and people could look "rather weird" if treated by a Botox injector with BDD.

A survey found BDD was higher among aesthetic practitioners than patients.