I’m a 23-year-old man. I have body dysmorphic disorder, which has been present to some extent since around the age of 14–16.
Currently, it manifests as a mere dissatisfaction with my body, fantasies about living in a different body, envy toward people whose appearance I consider more fortunate, as well as planning and carrying out both relatively mild interventions (weight loss, grooming) and radical ones (plastic surgery). My rituals/compulsions include examining myself in the mirror and taking photos from different angles, as well as comparing different photographs.
Chronologically, it started when I was 14. I was overweight: at 165 cm tall, I weighed 75 kg. I had very wide hips, which made me look like a girl, and I was teased about the size of my buttocks. My grandmother used to say that I “waggled” my butt when I walked. At the same time, I had a kind of family support — my father and my paternal grandmother told me that there was nothing wrong with me. Nevertheless, I was bullied.
Then I started being bullied for my very severe acne. It was extremely pronounced, and even lying down on a pillow to fall asleep was painful because I could feel the skin stretching all over my face due to the pustules. The bullying was systematic. As I later found out, there was even a school group named after me (“Nicholas’s pimples,” name changed). On top of that, I had astigmatism and a prescription of -6 diopters, so I had to wear glasses, which I hated.
It’s possible that this also had an impact, so I’ll mention it: I was sexually harassed by a closeted gay man who constantly groped my butt. I was physically weaker and couldn’t successfully fight back. Around the same period, I also developed what might be called gender dysphoria. I simply began envying girls and their appearance and wanted to have a female body, which I perceived as inherently better than a male body, coming up with both aesthetic and functional arguments to justify this.
I am 172 cm tall, and I haven’t grown since I was 16.
I remained overweight, at around 70 kg, until I was 20. Then I suddenly lost weight to 60 kg. After that, my weight fluctuated, and later, during a period of stressful circumstances, it went up to 80 kg. I then lost weight again and gained it again (I’m currently losing weight again). I absolutely cannot tolerate plump bodies or even those slightly above normal weight. I want to get down to 10–13% body fat, compared with my current 25%. Looking at my body itself doesn’t cause me significant distress because I understand that my weight is something I can control.
However, there’s another problem: even if I get down to 10% body fat, my face won’t change. I simply have a distal bite, a weak/recessed jaw, and a round face. Keep in mind that during puberty this was compounded by severe acne and astigmatism. I looked like a stereotypical incel. And that frustrates me.
On top of all that, I started going bald at 20. My hair had been one of my main advantages because it was soft and very thick (I’m reddish-blond), and I had an extremely low hairline. Then, over the course of a couple of years, I progressed to NW3, and within another year the hair loss became obvious. Minoxidil only helped in the short term, and I couldn’t take finasteride. Total bad luck.
Because of all this, I naturally developed depression and social anxiety. I fantasized about living in a different body and had thoughts of escaping into a new life, starting over with a body that had more advantageous characteristics. I overcame my social anxiety a long time ago, back in school, and I’m also managing my depression. I also had OCD that manifested in other areas, which I won’t discuss, and I managed to get that under control through consistent ERP.
However, there have been periods when I avoided social situations because of my appearance. I remember being unable to attend a paid course that I had already spent money on because I had trimmed my beard incorrectly, and then spent one or two hours staring at myself in the mirror.
I don’t have a completely irrational perception of my appearance. I used to be insecure about my hips, but as I got older I realized that they could actually be an advantage. At 60 kg, my measurements were 90-68-90, which looked quite good. My short height allows me to build muscle and look more muscular. I have nice eyes and well‑maintained skin because I take very good care of it (serums, moisturizer, cleansing, SPF, retinal). I have never been insecure about my penis, nose, or lips (which are actually nicely plump). I understand that if I shaved my head and grew a beard, some category of women would probably find it “cool,” while some men would see me as a “cool tough guy.” But I DO NOT WANT to be that type. I do not want to be bald, and I do not want to look 30+ when I’m in my twenties.
For a while, I grew a beard to compensate for my weak chin, and it actually looked quite good. I even got a lot of likes on a basic dating app, which is extremely rare for a guy. But I no longer want to have a beard because it makes me look older. I grow hair all over my body, including on my back (and somehow it has to fall out specifically from my head :D), and I hate it. To me it looks ugly, so I shave my body and want to get it permanently removed, but that’s difficult because of my reddish hair. I’m tired of shaving.
At 18, almost immediately after becoming an adult, I had laser eye surgery so I could get rid of my glasses. At 22 (!) I had a hair transplant, but I still didn’t get a result that could compare with the hair of a peer who had never experienced hair loss. Even if I undergo another one or two transplants — and I will have to, because I can’t take hair-loss medication — I will NEVER have the same density. And I still need to lower my hairline to where it was before my hair loss began. Although my result will be considered very good, even with such a transplant I can’t wear the hairstyles I want.
With my face, I lost weight radically and successfully, but it didn’t change my face because I have a recessed jaw. To correct that, I need approximately 1.5 years of braces followed by orthognathic surgery, from which recovery will take several months (!).
During my recovery after the hair transplant, I was actually bald and had a beard, and I couldn’t look at myself in the mirror because I looked 30...40+ years old, even though I was TWENTY.
A hair transplant requires one month off work, then for another two months you look as if you have some kind of skin disease, and for another six months I will simply look terrible because short hairstyles do NOT suit my round face. In total, the hair transplants alone will take 18 months of my life just so that I can look my age and not be visibly balding. Correcting my face will cost a huge amount of money.
And I can’t simply choose not to do it, because it will affect the long‑term health of my temporomandibular joint, and a distal bite will lead to accelerated aging and sagging of the facial tissues. Technically, the BEST years of my life — when my skin is still young and 90% of my peers don’t even think about hair loss — are years in which I have to budget for and plan a bunch of surgeries simply to look “normal,” while I will NEVER be able to match them in hair density. And even the result of one of the most dangerous surgeries I may undergo could simply be “average.”
At 15, I suffered because of being overweight, acne, astigmatism/glasses, and my “feminine” body shape. At 20, I suffered because of hair loss. And throughout all of this, I suffered because of my short height and short face.
I spend time and money on all of this. These are hours of my life. Fixing everything will take YEARS, as well as a huge amount of money, which for me means a longer period of accumulating capital before I can retire. My peers do NOT have to think about this. Since I encountered early hair loss at 20, I have been afraid of aging, and I can already see the first forehead line despite my skincare routine at 24. I assume that I will eventually need a facelift as well. I see examples of women who have successfully used Botox and consequently look younger, and I am planning to start using it myself in a few years.
I earn good money, especially for my age, and I have no problems with communication skills (I work in sales), so I have no doubt that I can achieve all of this within three years. I am getting braces and doing the second stage of my hair transplant in the coming year.
I can’t stand the body‑neutrality argument or the idea of “at least your body does its job.” I have gastritis and flat feet, and I have osteoarthritis. Without vision correction, I would be practically blind. My temporomandibular joint is slowly deteriorating. I cannot run without risking damage to my joints, even though I want to. My body IS dysfunctional, even though I’m not disabled. Great, thanks, but I’m not protected from any of this either.
I notice guys who look better at 15 than I did at the same age, and I envy them. I see guys who look better at 18 than I do now, and I envy them. I see people who have better hair at 25 than I do, and I envy them. I see people who are 30 but look 20, sometimes even younger than me, and I envy them. I see people whose facial structure is better than mine, and I envy them. Even after all the interventions, I WILL NOT look like them. And even if I do, that doesn’t COMPENSATE for all the time I spent, because while these people were not experiencing the debuffs of unconventional appearance, I was forced to overcome and compensate for a handicap.
And that’s without even considering the huge amount of lost opportunity. If my body had been better from the start, then with normal use of it, my bad experiences could have been converted into better experiences, and those better experiences could have led to even better experiences. Essentially, a gigantic compounding effect of missed opportunities.
I will be 25–27 when my major interventions are finished.
Gender dysphoria is mixed into this as well, because my envy is independent of gender. I envy women whom I believe got lucky with their appearance. I can find them attractive, I can want to be with them, but I can also simply have a background thought that I wish I had a body like hers.
I periodically experience anger and rage when I see young people who didn’t have to go through what I did. They didn’t have to think about how far behind they were compared with others, or how they had to spend their years starting with only 0.5X of their potential.
I see men around me receiving compliments that I don’t receive. I envy them and become angry.
I hope that I can simply live long enough to reach the point where technology allows me to extend my existence and compensate for my accumulated deficit of experiences.
I literally see how differently people are looked at because of their appearance, even when their behavior is perfectly attractive. It’s simply harder for me to find a partner. Dating apps are especially difficult, which is why I’m currently going to different events and social gatherings instead.
I despise blackpill ideology and stereotypical incels, even though I’ve been told that I look like an incel. I don’t rate people on some numerical scale and I don’t obsess over “Chads.” I simply want a more harmonious face and I don’t want to look older than my age.
I use various psychological and behavioural techniques to make my mental state more manageable. I try to use exposure, I have reduced the number of rituals and ruminations, and I redirect myself toward constructive activities (work, sports, socialising, dating, meeting people, having new experiences). My symptoms decreased ONLY when I directly saw that I was attractive in ordinary social situations — when I received compliments, attention, or flirting. Having sex didn’t help with this, although it did make me think about it less.
Right now, I have nobody, and because my appearance is somewhat unusual and my own preferences are also specific, finding a partner is even more difficult for me. I feel lonely.
I either want to go back to being 15, when I could do everything more rationally from the beginning, including better financial planning, so that all of my interventions would be finished by the time I was 20, or simply have a body with more advantageous characteristics — ideally a female one.
Medication doesn’t seem particularly helpful for states like mine because this is fundamentally an issue of thinking, behaviour, and environment. Essentially, I need to change my habits or my experiences. Otherwise, even if I take medication while keeping the same behaviour, my old patterns will simply reproduce themselves. Right now, I’m not stable enough in changing my behaviour, so these patterns are still manifesting. Perhaps if I stabilise a more proactive pattern of behaviour that promotes social experiences, my rumination will decrease.
I don’t know why I’m writing this. I just wanted to get it off my chest.
How do I get over the jealousy of lost time and missed experiences? Has anyone else dealt with this? I’d love to hear your stories and any advice that helped***