ATTITUDES TOWARD COSMETIC SURGERY IN MIDDLE-AGED WOMEN: BODY IMAGE, AGING ANXIETY, AND THE MEDIA

Our study investigated factors that influence attitudes toward cosmetic surgery in middle-aged women. A sample of 108 women, aged between 35 and 55 years, completed questionnaire measures of body dissatisfaction, appearance investment, aging anxiety, media exposure (television and magazine), and attitudes toward cosmetic surgery (delineated in terms of general attitudes, social motivations, and actual consideration). Body dissatisfaction, appearance investment, aging anxiety, and both media variables predicted some facet of attitudes toward cosmetic surgery. Specifically, appearance investment, aging anxiety, and television exposure were unique predictors of endorsement of social motivations for cosmetic surgery, whereas body dissatisfaction, appearance investment, and television exposure were unique predictors of actual consideration of cosmetic surgery. Regression analysis revealed that the effects of media on cosmetic surgery attitudes were primarily direct. We concluded that there are multiple influences on attitudes toward cosmetic surgery for women of middle age.     

Correlates of Young Women’s Interest in Obtaining Cosmetic Surgery

This study examined predictors of young women’s interest in obtaining cosmetic surgery. The sample investigated was comprised of 101 college undergraduates residing in the northeastern U.S. (M age?=?19.99, SD?=?4.79). Participants’ weight status (M BMI?=?24.52, SD?=?5.69), body dissatisfaction, internalization of media messages, reports of physical appearance teasing, and interest in obtaining cosmetic surgery were assessed. Results indicated that all of the predictors examined were correlated with women’s interest in cosmetic surgery. Further, body dissatisfaction mediated the relations between weight status, internalization of media messages, reports of teasing, and women’s interest in cosmetic surgery. Findings are discussed in terms of the importance of understanding cosmetic surgery trends and young women’s susceptibility to body dissatisfaction.     

FAMILY, SELF, AND SOCIOCULTURAL CONTRIBUTIONS TO BODY-IMAGE ATTITUDES OF AFRICAN-AMERICAN WOMEN

This study examined factors that influenced body-image attitudes of 90 African-American college women. Participants completed two instruments assessing body image attitudes and measures of social self-esteem, racial identity attitudes, and family and personal characteristics. Data analyses indicated that self and sociocultural variables were associated with evaluations of physical appearance, fitness, and investment in health. Dissatisfaction with the total body was predicted with family variables, whereas family and self variables were related to satisfaction with body areas. Fathers' education; body mass and fathers' education; body mass and social self-esteem; internalization of racial attitudes; and social self-esteem best predicted body areas satisfaction, appearance evaluation, fitness evaluation, and health orientation, respectively. Implications for the divergence/convergence of subjective measures of body image are discussed and suggestions offered for future studies.     

Cosmetic surgery in inpatients with eating disorders: attitudes and experience

Body image disturbance is frequent among individuals undergoing cosmetic surgery and core to the pathology of eating disorders (ED); however, there is little research examining cosmetic surgery in ED. This study examined body image related measures, ED behaviors, and depression as predictors of attitudes toward cosmetic surgery in 129 women with ED. Patients who had undergone surgery (n = 16, 12%) were compared to those who had not. Having a purging diagnosis, linking success to appearance, and making physical appearance comparisons were predictive of more favorable cosmetic surgery attitudes. All of those who had undergone surgery had purging diagnoses and, on average, were older, had higher BMIs, and were more likely to make physical appearance comparisons and know someone who had undergone surgery. In ED, acceptance and pursuit of cosmetic surgery appears to be related to social group influences more than weight and shape disturbance, media influences, or mood.     

Internalization of Appearance Ideals and Cosmetic Surgery Attitudes: A Test of the Tripartite Influence Model of Body Image

The Tripartite Influence Model of Body Image was adapted to examine the role of body satisfaction, perceived pressure to have cosmetic surgery, and internalization of societal appearance ideals in understanding cosmetic surgery attitudes. Participants were 2,048 men (N?=?445) and women (N?=?1,603) American college students from Florida who completed a range of measures that assessed levels of body satisfaction, perceived appearance pressures, internalization of appearance standards, and cosmetic surgery attitudes. A structural equation model was used to test hypothesized relations independently for men and women. Results indicated a moderate-good fit to the data, with both internalization and body satisfaction mediating the effect of perceived pressures on cosmetic surgery attitudes. Invariance testing revealed significant differences in pathway estimates between samples of men and women. The findings offer further support for the Tripartite Influence Model of Body Image and indicate potential factors that may influence cosmetic surgery attitudes.     

The role of media and peer influences in Australian women's attitudes towards cosmetic surgery

The study aimed to examine the influence of media and peers on attitudes towards cosmetic surgery using a sociocultural framework. A sample of 351 Australian women aged 18–69 years completed measures of media exposure, friend conversations, internalisation of appearance ideals, appearance comparison, body dissatisfaction, and attitudes towards cosmetic surgery. Correlational analysis showed that almost all media and friend variables were significantly correlated with positive attitudes towards cosmetic surgery. A structural equation model based on the sociocultural model showed a good level of fit to the data. The effects of media exposure and friend conversations on body dissatisfaction and attitudes towards cosmetic surgery were mediated by internalisation. We concluded that media exposure and friend conversations affected attitudes towards cosmetic surgery both directly and indirectly. Our results contribute to the understanding of the sociocultural mechanisms underlying women's motivations for cosmetic surgery.     

BODY IMAGE AND SOCIOCULTURAL NORMS

Internalization of sociocultural norms about the body has been theorized to be an important factor in fostering body dissatisfaction in women. Some theorists have suggested that a lesbian identity may buffer or immunize lesbians from the damaging effects of society's pressure to be thin by reducing this internalization. This study was designed to test this claim empirically. Questionnaires were completed by 108 lesbians and 115 heterosexual women recruited through snowball sampling. Lesbians felt more fit, reported less negative attitudes toward their lower bodies, and internalized sociocultural norms less than heterosexual women. For all women, internalization of sociocultural norms significantly predicted body attitudes. Lesbians and heterosexual women appear to be similarly exposed to and aware of society's messages, and as such their body attitudes substantially overlap. However, lesbians are buffered from these views in some specific areas. These differences appear to be primarily the result of differential internalization of sociocultural norms.     

Objectification Theory Predicts College Women’s Attitudes Toward Cosmetic Surgery

This study investigated cosmetic surgery attitudes within the framework of objectification theory. One hundred predominantly White, British undergraduate women completed self-report measures of impression management, global self-esteem, interpersonal sexual objectification, self-surveillance, body shame, and three components of cosmetic surgery attitudes. As expected, each of the objectification theory variables predicted greater consideration of having cosmetic surgery in the future. Also, as expected, sexual objectification and body shame uniquely predicted social motives for cosmetic surgery, whereas self-surveillance uniquely predicted intrapersonal motives for cosmetic surgery. These findings suggest that women’s acceptance of cosmetic surgery as a way to manipulate physical appearance can be partially explained by the degree to which they view themselves through the lenses of sexual and self-objectification.     

Facing Up to Aging: Mid-Life Women's Attitudes toward Cosmetic Procedures

Despite the fact that mid-life and older women are a major consumer group for cosmetic procedures (e.g., botox, face lifts), few studies have been done on their attitudes toward these procedures and their willingness to undergo them. The purpose of the present study was to gather information about the popularity of these procedures among a group of 57 mid-life American women, examine whether some personality and attitudinal measures might predict attitudes toward these procedures, and consider the ramifications of the data for the treatment of women in feminist therapy. About one third (38.5%) of our sample had had one or more cosmetic procedures, and 81% said that they would have a procedure if cost were not an issue. Positive attitudes toward cosmetic surgery and preoccupation with being over-weight best predicted women's interest in cosmetic procedures. The popularity of these procedures is discussed in light of the double standard of aging and age discrimination, weight as a “normative discontent,” and the ubiquity of advertisements for, and normalization of, these procedures in the popular media.     

Predicting excessive body image concerns among British university students: The unique role of Appearance-based Rejection Sensitivity

The present research examined the extent to which interpersonal concerns about rejection based on appearance, or Appearance-based Rejection Sensitivity (Appearance-RS), serves as an indicator of risk for excessive body image concerns. Extending previous research, we examined the association between Appearance-RS and symptoms of body dysmorphic disorder (BDD) and cosmetic surgery attitudes among 106 British university students. Consistent with predictions, Appearance-RS uniquely predicted greater degree of BDD symptoms after controlling for other known predictor variables. Also, as expected, Appearance-RS uniquely predicted acceptance of cosmetic surgery for both intrapersonal and social reasons and greater consideration of having cosmetic surgery in the future. These findings highlight the importance of assessing individuals’ sensitivity to rejection from others based on their physical appearance in investigations of excessive body image concerns.     

Cosmetic Surgery: A Common and Accepted Form of Self‐Improvement?1

The pursuit of beauty through alteration of physical appearance is a growing trend. Rates of cosmetic surgery have soared, suggesting that surgery is a common, acceptable solution to the desire for self‐improvement. Despite indications that surgeries are increasing in frequency, there have been few empirical investigations about popular attitudes toward cosmetic surgery. In the present study, 302 female undergraduate students were surveyed. Approximately 3% of the sample had undergone cosmetic surgery themselves, and half knew at least 1 person among their friends and family who had undergone cosmetic surgery. As hypothesized, approval and reported future likelihood of cosmetic surgery were predicted by greater media exposure, greater vicarious experience of cosmetic surgery, and greater importance of appearance to self‐worth. No significant differences among ethnic groups were found.     

Acceptance of cosmetic surgery,body appreciation,body ideal internalization,and fashion blog reading among late adolescents in Sweden

This study examined adolescents’ attitudes of cosmetic surgery, as well as the relationships between these attitudes, body appreciation, body ideal internalization, and fashion blog reading. The sample comprised 110 (60 boys, 50 girls) late adolescents (mean age 16.9 years) from a Swedish high school. The results indicated that younger adolescents seem somewhat more accepting of cosmetic surgery. This was especially the case for boys’ acceptance of social motives for obtaining cosmetic surgery (boys’ M = 2.3 ± 1.55 vs. girls’ M = 1.7 ± 0.89). Girls’, and to a limited extent boys’, internalization of the thin ideal was related to more favorable cosmetic surgery attitudes. Athletic ideal internalization and body appreciation were unrelated to these attitudes. Finally, girls who frequently read fashion blogs reported higher thin ideal internalization, and also demonstrated a slight tendency of more cosmetic surgery consideration.     

Teasing, acculturation, and cultural conflict: psychosocial correlates of body image and eating attitudes among South Asian women

The current study examined sociocultural correlates of body dissatisfaction and maladaptive eating attitudes among 74 South Asian American women. Participants completed measures assessing three forms of teasing--general appearance, weight/shape, and ethnic--as well as thin-ideal internalization, acculturation, cultural conflict, body dissatisfaction, and maladaptive eating attitudes. Results indicated that all three types of teasing and cultural conflict were significantly related to body dissatisfaction and maladaptive eating attitudes. Cultural conflict was found to mediate the relationship between ethnic teasing and body dissatisfaction. Neither thin-ideal internalization nor acculturation was significantly associated with either body dissatisfaction or maladaptive eating attitudes. However, body dissatisfaction was found to mediate the relationship between weight/shape teasing and maladaptive eating attitudes. Implications of these findings and possible future directions for research on South Asian American women are discussed.     

Translation and validation of the Malay Acceptance of Cosmetic Surgery Scale

The present study examined the psychometric properties of a Malay translation of the Acceptance of Cosmetic Surgery Scale (ACSS; Henderson-King & Henderson-King, 2005). A total of 373 Malaysian women completed the ACSS along with measures of ideal–actual weight discrepancy, body appreciation, sociocultural attitudes toward appearance, self-esteem, life satisfaction, and demographics. Results showed that the Malay ACSS was best reduced to a two-factor solution, although an overall score of all 15 ACSS items showed the highest internal consistency. Results also showed that this overall score had good discriminant and divergent validity. It is expected that the availability of a Malay version of the ACSS will stimulate cross-cultural research on the acceptance of cosmetic surgery.     

The Effect of Social Network Site Use on Appearance Investment and Desire for Cosmetic Surgery Among Adolescent Boys and Girls

Although adolescents frequently use social network sites, little is known about whether the highly visual and self-presentation-centered character of such sites affects body-related outcomes such as investment in appearance and appearance-changing strategies. Due to gender differences in appearance pressures and appearance ideals, these effects of social network sites on body-related outcomes may differ between boys and girls. The aim of the current study was therefore to investigate the relationships between social network site use, appearance investment, and desire for cosmetic surgery among adolescents and to compare the experiences of boys and girls. We used data from a two-wave panel study among 604 Dutch adolescents (aged 11–18). Structural equation modeling showed that social network site use positively predicted adolescents’ desire to undergo cosmetic surgery indirectly through increased appearance investment. The relationships found between social network site use, investment in appearance, and cosmetic surgery desire applied to boys and girls and were not moderated by gender.     

Cosmetic Surgery Makeover Programs and Intentions to Undergo Cosmetic Enhancements: A Consideration of Three Models of Media Effects

The recent proliferation of reality‐based television programs highlighting cosmetic surgery has raised concerns that such programming promotes unrealistic expectations of plastic surgery and increases the desire of viewers to undergo such procedures. In Study 1, a survey of 170 young adults indicated little relationship between cosmetic surgery makeover program viewing and body satisfaction or perception of risk but a small positive association with desire to undergo cosmetic surgical procedures. In Study 2, a survey of 271 young women allowed for a test of three theoretical explanations for this association. Evidence in support of cultivation theory, social cognitive theory, and social comparison theory emerged, thus highlighting the need for a more integrated theoretical model of media effects.     

Predicting interest in liposuction among women with eating problems: a population-based study

The purpose of this paper was to examine predictors of an interest in liposuction among women with eating problems. A questionnaire was sent to 3500 women aged 18-35 years, whereof 378 of 1861 responders screened positively on eating problems. Assessments included sociodemographic status, social network, physical exercise, attitudes towards cosmetic surgery, teasing history, body dysmorphic disorder-like symptoms, body image, self-esteem, personality, interpersonal attachment and emotional distress. Fifty-two percent reported an interest in liposuction, which was independently predicted by appearance orientation, appearance evaluation, being critical/quarrelsome, teasing history, wish for a better relationship with father, low education and being unmarried. Predictors differed somewhat from those previously found in the general population. Considering that our sample consisted of women with self-reported eating problems, the association between liposuction and eating behaviors should be further examined in a sample of patients with a formal eating disorder diagnosis.     

Acceptance of cosmetic surgery: scale development and validation

We conducted a set of four studies with a total of 1288 adult and undergraduate women and men to develop the Acceptance of Cosmetic Surgery Scale. These studies provide evidence of this scale's reliability, as well as convergent and discriminant validity. Initial explorations using this 15-item scale indicate that acceptance of cosmetic surgery is negatively related to satisfaction with physical appearance and positively related to attitudes about make-up use. The acceptance of cosmetic surgery may be more related to fears about becoming unattractive than to hopes of becoming more attractive. Cosmetic surgery attitudes were positively related to age for women but not for men. The study's limitations and implications are discussed.     

SOCIOCULTURAL INFLUENCE AND APPEARANCE-BASED REJECTION SENSITIVITY AMONG COLLEGE STUDENTS

The present research examined the influence of parents, peers, and the media in predicting college students' Appearance-based Rejection Sensitivity (Appearance-RS)—the degree to which individuals anxiously expect to be rejected based on their physical appearance. Given that women are socialized to be more appearance-focused than men, women were hypothesized to show greater Appearance-RS in response to sociocultural influences than men. A survey was administered to 220 students at a large public university in the United States. Overall, women showed greater sensitivity to appearance rejection than men. Specifically, perceptions of peer conditional acceptance based on appearance were associated with Appearance-RS among women. In addition, the more women and men internalized media ideals and felt media pressure to look attractive, the more sensitive they were to appearance rejection. No significant effects of parental influence were found. Thus, peer conditional acceptance predicted Appearance-RS among women, and media influence predicted Appearance-RS among women and men.     

AGE AND GENDER IN RELATION TO BODY ATTITUDES

In order to examine whether the double standard of aging exists in self-perceptions of body attitudes, 144 men and women aged 20 to 80 years were tested. Variables that might moderate the relationship between body attitudes and aging, including self-esteem, health, masculinity, appearance orientation, and exercise participation were also examined. No age, gender, nor Age × Gender differences in body attitudes were found. Self-esteem, health, and masculinity were positively related to body attitudes, but these relationships did not vary according to age or gender. An Age × Gender × Exercise interaction indicated a positive relationship between age and body satisfaction among women exercisers but a negative relationship among women nonexercisers. Finally, appearance orientation was unrelated to body attitudes among all participants. The results of this study do not support the double standard of aging in self-perceptions but do suggest the similarity and importance of body attitudes across the adult life span.