Recluse and low self esteem due to facial assymetry

Patient

Q: Type your question here...Would the british nhs pay to have my crooked nose and sticky out ear fixed? I also have crooked teeth and acne with scarring. My self esteem is rock bottom and when I see myself in photos and on my webcam I feel like Igor or that dude out the goonies movie. I have schizophrenia and have been a recluse for over 15 years because of my looks.

Symptoms:  Psychological distress. Fear of being seen by others.
Doctor

A:   Hello,
Thanks for choosing "Ask The Doctor" for posting your query.
As you are already having schizophrenia, we need to have a face to face consultation to make sure that the facial probelms that you are talking about is genuine or its a part of dysmorphophobia. If its is the later then management with anti-psychotics like olanzapine or risperidon can help the condition. Otherwise if its a genuine facial malformation, then it would require a plastic surgery and probably NHS may not help you in this regard.
Hope I am able to answer your concerns.

Wish you good health!

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