Background: Body image is defined as the internal representation of person's external appearance and it plays a significant role in quality of life and self-esteem of individuals. Body Dysmorphic Disorder (BDD) affects 1-2% of general population. Patients with BDD report significant dissatisfaction with their external appearance and represent about 5-15% of individuals seeking aesthetic interventions. Objective: The aim of this study was to estimate rates of BDD in females seeking aesthetic dermatology services in Egyptian culture in a step to raise awareness about BDD in dermatology practice. Patients and Methods: we recruited 150 female subjects from those seeking different aesthetic dermatology interventions from dermatology clinics in Minia governorate. Our study is a cross sectional study that involved collecting data about sociodemographic and illness related characteristics, history taking and clinical examination. The tools applied to participants were the Body Dysmorphic Disorder Questionnaire, the Body Dysmorphic Disorder modification for Yale-Brown Obsessive-Compulsive Scale (Adult version) and the Body Dysmorphic Disorder modification for Yale-Brown Obsessive Compulsive Scale (Adolescent version). Results: The most common age group was 25-35 years representing 42.7% of the sample. Based on BDD-YBOCS results, 62% of our sample screened positive for BDD while lower rates of BDD were found based on Body Dysmorphic Disorder Questionnaire (BDD-Q). Conclusions: Patients with BDD frequently present to aesthetic dermatology settings. Rates of BDD in aesthetic dermatology seekers are high reaching up to 62%. It is important to screen all persons seeking aesthetic interventions for BDD.