One of the “red flags” in plastic surgery is to recognize those individuals with Body Dysmorphic Disorder, a mental disorder in which the affected individual cannot stop thinking about a perceived defect or flaw in their appearance. Occasionally we fail to recognize these individuals and despite what many would perceive as an excellent cosmetic result, these patients continue to believe that their body part is unattractive. When individuals with this mental disorder fall through the cracks and have surgery, they become extremely difficult to care for postoperatively. They not only believe that their focused body part is unattractive; they also believe that it is the source of all of their unhappiness and failures. Their typical is pattern to see one plastic surgeon after another until they find one who will operate again at which point the cycle continues.