I'm a 30-something year old male. 2 years ago my orthodontist pulled out 4 teeth of mine to correct my bite. This resulted in loss of bone volume (for those who do not know, the teeth are what tell your body to produce bone, so when then are removed you lose volume). Ever since then, I lost support around my mouth. My lips became smaller and all the cheek above the mouth drooped down. My eye sockets look more hollow as the skin from there has drooped down into the cheek area.
Before this, I didn't have BDD and was aging great, and frankly I did not care about my looks. Now I cannot think of anything else.
Many days I am unable to go outside and do simple tasks such as checking the mail out of fear of catching my reflection in a car window. When I do catch my reflection in these surfaces, the area around my mouth looks sunken in.
Since February I have seen a therapist for it. I was on medications last year. Neither has worked at all. I am worse than ever. There's really nothing to say as this is a hopeless situation.
I have some good things in life, such as my girlfriend and living in a beautiful part of the country, and some accomplishments in the past. But I see a bleak future. When I see the skin in a reflection, I use all my CBT coping strategies, but they just don't seem to quell the dread and nausea. I have tried Buddhist meditation to learn self-compassion and living in the moment. This works briefly and I forgive myself for looking so horrible, but as soon as I turn the tape off my brain turns on itself once again.
There isn't much anyone can say most likely unless they've gone through something similar. I did a search for "skin" and surprisingly found nothing, so apparently this is rare.
The bigger problem is likely aging in general, and the skin obsession is one component of that bigger problem. IMO, the reason I cannot accept aging is because it is (a) constant and (b) out of my control. The idea that by the time I am done typing this sentence my cells [skin] will all be older overwhelms me and makes me constantly live in the past. I don't view sagging or lines as "wisdom" or any of the common rationalizations. I am so mentally ill. If anyone has insight...