Attitudes toward cosmetic surgery patients: the role of culture and social contact

Cosmetic surgery is increasingly popular globally, but how cosmetic surgery patients are socially evaluated is largely unknown. The present research documents attitudes toward these patients in multiple cultures (Hong Kong, Japan, and the United States). Across these cultures, attitudes toward cosmetic surgery patients were predominantly negative: Participants ascribed more negative attributes to cosmetic surgery patients and found cosmetic surgery not acceptable. Also, participants in Hong Kong and Japan were not willing to form social relationships, particularly intimate ones, with these patients. These attitudes were less negative in the United States than in Hong Kong and Japan, partly because social contact, which reduced negativity in attitudes toward cosmetic surgery patients, was more prevalent in the United States. These findings bear important implications for the subjective well-being of cosmetic surgery patients, who very often expect improvement in their social relationships through the surgery.     

A correlational and experimental examination of reality television viewing and interest in cosmetic surgery

Two studies are presented that examine the influence of media messages about cosmetic surgery on youths’ interest in altering their own physical appearance. In Study 1, 170 participants (59% female; M age = 19.77 years) completed surveys assessing their impression of reality television shows featuring cosmetic surgery, appearance satisfaction, self-esteem, and their interest in cosmetic surgery. Results indicated that participants who reported favorable impressions of reality television shows featuring cosmetic surgery were more likely to indicate interest in pursuing surgery. One hundred and eighty-nine participants (51% female; M age = 19.84 years) completed Study 2. Approximately half of the participants were exposed to a television message featuring a surgical make-over; the other half was exposed to a neutral message. Results indicated that participants who watched a television program about cosmetic surgery wanted to alter their own appearance using cosmetic surgery more than did participants who were not exposed to this program.     

A Test of the Agency Hypothesis in Women��s Cosmetic Surgery Usage

Women??s agency??their ability to make conscious choices and to act on them??is a central consideration in feminist theories of cosmetic surgery. Several key issues in this longstanding debate are how much external or coercive influence women experience (or acknowledge) in their choice to pursue surgery, whether they are aware of sexist ideology more so than non-recipients, and whether their choice to pursue surgery exemplifies a strong sense of self worth. To test this agency hypothesis, we draw on survey data from a volunteer sample of 202 adult women ages 19?C86 years from the southern California region in the U.S. to compare cosmetic surgery recipients to non-recipients across these key socio-cultural and personal domains. Results reveal that cosmetic surgery recipients were more likely to have friends who had undergone cosmetic surgery, endorsed more covert sexist beliefs, exhibited greater media usage, and had higher household incomes, than non-recipients. Recipients also evidenced lower ratings in global self-esteem than non-recipients. These findings challenge some of the notions attendant to agency claims, and engage with conceptions of autonomy introduced in the feminist philosophical literature.     

Blame it on patriarchy: More sexist attitudes are associated with stronger consideration of cosmetic surgery for oneself and one's partner

In the present work, we examined associations between oppressive, sexist beliefs and consideration of cosmetic surgery for oneself and also endorsement of cosmetic surgery for one's romantic partner. A total of 554 German‐speaking volunteers from the community, mainly in Austria, completed measures of consideration of cosmetic surgery and three measures of sexist attitudes, while a subset of participants in romantic relationships completed a measure of endorsement of cosmetic surgery for their partners along with the measures of sexism. Preliminary analyses showed that women and single respondents were more likely to consider having cosmetic surgery than men and committed respondents, respectively. Further analyses showed that consideration of cosmetic surgery for oneself was significantly associated with sexist attitudes, particularly hostile attitudes to women. In addition, among participants in a relationship, sexist attitudes were associated with endorsement of cosmetic surgery for one's partner. These results indicate that attitudes to cosmetic surgery for oneself and one's partner are shaped by gender‐ideological belief systems in patriarchal societies. Possible implications for understanding the motivations for having cosmetic surgery, among both single respondents and couples, are discussed.     

Patient Characteristics That Impact Tattoo Removal Resource‐Allocation Choices: Tattoo Content,Age, and Parental Status

This study assessed characteristics that affect decisions about receipt of a tattoo‐removal procedure among members of stigmatized groups. Two experiments, each with different participants, assessed how changes in characteristics of hypothetical patients described as having a tattoo that reduced employment prospects affected how participants allocated access to the procedure. Patient characteristics assessed were parental status, age, and tattoo content. Participants ranked prospective patients (all described as having an undesirable tattoo, and varied with respect to the aforementioned characteristics) on the priority for receipt of removal. Young patients with children, and with specific tattoo contents, were favored. Implications for prejudice against certain groups are noted.     

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.     

Remaking the She-Devil: A Critical Look at Feminist Approaches to Beauty

Cosmetic surgery provides a problematic case for feminist theorizing about femininity and women's relationship with their bodies. Feminist accounts of femininity and beauty are unable to explain cosmetic surgery without undermining the women who opt for it. I argue that cosmetic surgery may have less to do with beauty and more to do with being ordinary, taking one's life into one's own hands, and determining how much suffering is fair.     

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.     

美容外科的安全性问题与伦理原则

围绕美容外科的安全性进行伦理学分析,认为美容外科的有效性与有伤性的不可分是美容外科的基本特征,因此,美容外科实施过程中必须遵循伦理学的有利无伤、知情同意、解释说明的原则,并且要把美容外科的安全性作为首要原则.     

“Big eye” surgery: the ethics of medicalizing Asian features

The popularity of surgical modifications of race-typical features among Asian women has generated debates on the ethical implications of the practice. Focusing on blepharoplasty as a representative racial surgery, this article frames the ethical discussion by viewing Asian cosmetic surgery as an example of medicalization, which can be interpreted in two forms: treatment versus enhancement. In the treatment form, medicalization occurs by considering cosmetic surgery as remedy for pathologized Asian features; the pathologization usually occurs in reference to western features as the norm. In the enhancement form, medicalization occurs by using medical means to improve physical features to achieve a certain type of beauty or physical appearance. Each type of medicalization raises slightly different ethical concerns. The problem with treatment medicalization lies in the pathologization of Asian features, which is oppressive as it continues to reinforce racial norms of appearance and negative stereotypes. Enhancement medicalization is ethically problematic because cosmetic surgery tends to conflate beauty and health as medical goals of surgery, overemphasizing the value of appearance that can further displace women’s control over their own bodies. I conclude that in both forms of medicalization, cosmetic surgery seems to narrowly frame a complex psychosocial issue involving physical appearance as a matter that can be simply solved through surgical means.     

MATERIALISM, SOCIOCULTURAL APPEARANCE MESSAGES, AND PATERNAL ATTITUDES PREDICT COLLEGE WOMEN'S ATTITUDES ABOUT COSMETIC SURGERY

Rates of cosmetic surgery procedures have increased dramatically over the past several decades, but only recently have studies of cosmetic surgery attitudes among the general population begun to appear in the literature. The vast majority of those who undergo cosmetic surgery are women. We examined cosmetic surgery attitudes among 218 undergraduate women, most of whom were White. Specifically, we examined their acceptance of cosmetic surgery and expressed desire to undergo cosmetic surgery procedures, and several potential predictors: appearance attitudes of mothers, fathers, and friends; awareness and internalization of sociocultural appearance messages; and materialism. Multiple regression analyses indicated that materialism and internalization of sociocultural messages consistently emerged as significant predictors of acceptance of cosmetic surgery and desire for cosmetic surgery procedures. Paternal attitudes positively predicted acceptance of cosmetic surgery for social reasons and desire for cosmetic surgery; nonmaterialism negatively predicted considering cosmetic surgery and the desire for cosmetic surgery procedures.     

Body dysmorphic disorder and appearance enhancing medical treatments

This article reviews the literature on body dysmorphic disorder (BDD) in persons who seek appearance enhancing medical treatments such as cosmetic surgery and dermatological treatment. We begin with a discussion of the growing popularity of cosmetic surgical and minimally invasive treatments. The literature investigating the psychological characteristics is briefly highlighted. Studies investigating the rate of BDD among persons who seek appearance enhancing treatments are detailed and, collectively, suggest that approximately 5–15% of individuals who seek these treatments suffer from BDD. Retrospective reports suggest that persons with BDD rarely experience improvement in their symptoms following these treatments, leading some to suggest that BDD is a contraindication to cosmetic surgery and other treatments. The clinical management of patients with BDD who present for these treatments is briefly described and directions for future research are provided.     

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.     

Predicting consideration of cosmetic surgery in a college population: a continuum of body image disturbance and the importance of coping strategies

Elective cosmetic surgeries are increasing in the American population with reasons linked to body image disturbance and body dysmorphic disorder (BDD). Little research exists documenting the continuum of body image disturbance and its relationship to seeking surgery. The present research examined data from 544 participants, 55 of whom were diagnosable with BDD. Using assessments for body image disturbance, problematic coping strategies, and BDD symptomatology, results provided evidence for a continuum of body image distress. Logistic regression analysis supported the hypothesis that increased levels of body image disturbance and one type of problematic coping strategy (Appearance Fixing) predicted consideration of cosmetic surgery. Of participants diagnosable with BDD, those who considered cosmetic surgery showed more severe body image disturbance and problematic coping than those who did not consider surgery. These results have implications for pre-surgical assessment as well as psychological interventions rather than invasive medical interventions.     

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.     

Marked for life? A prospective study of tattoos on appearance anxiety and dissatisfaction, perceptions of uniqueness, and self-esteem

Previous studies on psychosocial aspects of tattooing have not examined prospective changes in self- and body-related attitudes as a result of obtaining a tattoo. In the present study, 82 British residents obtaining their first tattoo completed measures of state appearance anxiety and dissatisfaction prior to, and immediately after, obtaining a tattoo. They also completed measures of trait body appreciation, distinctive appearance investment, self-ascribed uniqueness, social physique anxiety, and self-esteem before obtaining a tattoo and three weeks later. Results showed that both women and men had significantly lower appearance anxiety and dissatisfaction immediately after obtaining their tattoo, and significantly higher body appreciation, distinctive appearance investment, self-ascribed uniqueness, and self-esteem after three weeks. Women reported greater social physique anxiety after three weeks, whereas men reported lower anxiety. These results are discussed in relation to the positive impacts of obtaining body art and the mainstreaming of tattooing in Western societies.     

Body appreciation, media influence, and weight status predict consideration of cosmetic surgery among female undergraduates

The current study examined the association between consideration of cosmetic surgery, body appreciation, media influence, and participant demographics. In total, 322 female university students completed the Consider subscale of the Acceptance of Cosmetic Surgery Scale, the third revision of Sociocultural Attitudes Toward Appearance Scale (SATAQ-3), the Body Appreciation Scale (BAS), and provided their demographic details. Bivariate correlations showed that consideration of cosmetic surgery was significantly and positively correlated with three of the SATAQ-3 subscales and negatively correlated with BAS scores, age, and body mass index (BMI). A multiple regression showed that the only significant predictors of consideration of cosmetic surgery were greater media influence, less body appreciation, and lower BMI. These results are discussed in relation to the extant literature on attitudes towards cosmetic surgery.     

Attitudes to cosmetic surgery among ethnic minority groups in Britain: Cultural mistrust,adherence to traditional cultural values,and ethnic identity salience as protective factors

Previous work has suggested that ethnic minority women have more negative attitudes to cosmetic surgery than British Whites, but reasons for this are not fully understood. To overcome this dearth in the literature, the present study asked 250 British Asian and 250 African Caribbean university students to complete measures of attitudes to cosmetic surgery, cultural mistrust, adherence to traditional cultural values, ethnic identity salience, self‐esteem, and demographics. Preliminary analyses showed that there were significant between‐group differences only on cultural mistrust and self‐esteem, although effect sizes were small (d values = .21–.37). Further analyses showed that more negative attitudes to cosmetic surgery were associated with greater cultural mistrust, stronger adherence to traditional values, and stronger ethnic identity salience, although these relationships were weaker for African Caribbean women than for British Asians. These results are discussed in relation to perceptions of cosmetic surgery among ethnic minority women.     

Existential motive underlying cosmetic surgery: A terror management analysis

Why do people consider cosmetic surgery? Based on the terror management theory, the present research identifies an existential motive: Through cosmetic surgery, people can symbolically defend against their death anxiety. A correlational study and an experiment showed that death terror, whether operationalized as individual differences in fear of death or experimentally manipulated mortality salience, was associated with stronger acceptance of cosmetic surgery. This association was absent among participants who did not consider physical appearance important, and weaker among those who were satisfied about their appearance. Also, this association was particularly strong among those with high explicit self‐esteem. This concurs with the recent theoretical development about the role of self‐esteem in symbolic defenses against death terror.     

Marked: Tattoo as an Expression of Psyche

Tattoo is a practice that is thousands of years old, appearing in virtually every corner of the world. Since the rise and expansion of organized nation states, it has often been subject to negative judgments, identified with a primitive cultural level, low social status, or even criminality. This article provides a brief overview of the history of tattoo, identifying associated cultural complexes and considering factors in the contemporary resurgence of tattoo's popularity. Against this backdrop, a qualitative study of a group of contemporary tattoo wearers is presented. Selected tattoos are reproduced and examined in detail from a psychological perspective, along with the wearers' own accounts of their motivations and experiences. From these accounts emerge five basic themes: self-empowerment, identification with a group, memorialization, “a message to oneself,” and the transformation of pain into beauty. Broader consideration is then given to different levels of meaning that a tattoo may carry for the wearer, working from examples of a particular motif often chosen: that of birds. Previous authors have pathologized wearers as masochistic, due to the pain involved in receiving a tattoo. Others tend to view tattoo as purely ornamental in function. The purpose of this article is to balance the picture by remaining open to tattoo as an expression of psyche. The emerging story is one in which choosing, receiving, and wearing a tattoo can be part of living a symbolic life.