Can someone have body dysmorphic disorder without the desire to get a lot of plastic surgery?

Yes: Bdd can be associated with the desire for plastic surgery--of even more radical surgery intended to get rid of the offending body part. However, many simply feel "stuck" with what they perceive to be a disgusting or "ugly" feature and believes that explains various failures in life.

Certainly: Yes. Bdd is essentially the excessive concern over what is percieved to be a relatively minor condition to the point of interfering with your daily functions. It does not necessarily mean that you will seek cosmetic surgery although estimates of anywhere from 15-60% of patients undergoing cosmetic surgery have been reported to have some degree of bdd.

Yes : Body dysmorphic disorder like most “disorders” can present in a variety of forms. This diagnosis does not necessarily come with a “desire to get a lot of plastic surgery”. If you are concerned, best to seek mental health professional consultations with specialists in this field. Best wishes.