Abstract

Cosmetic surgery is an interdisciplinary field involving cosmetics and medicine that stems from the early modern obsession with disfigurement. The “correcting” of facial features and body parts was very likely because beauty was at the heart of most reconstructive desires. Cosmetic surgery patients typically experience improvements in body image, and some are very satisfied with the impact of cosmetic surgery in changing their behaviors and improving self-esteem. The doctrine of mind–body connection supports the concept of healing the heart through the body. However, some people feel disgraced after revealing their experiences of cosmetic surgery. It is known that people who experience childhood psychological trauma, such as abuse and school bullying, may opt for cosmetic surgery later in life. The present study aimed to explore the relationship between childhood psychological trauma, cosmetic surgery, and body image. Three female adults who had undergone different types of cosmetic surgery completed the Acceptance of Cosmetic Surgery Scale (ACSS), the Fear of Negative Appearance Evaluation Scale (FNAES), and the Multidimensional Body-Self Relations Questionnaire (MBSRQ), followed by semistructured face-to-face interviews. According to the results, 1) undergoing cosmetic surgery can enhance self-confidence, reduce body dissatisfaction, resolve inner conflicts, and somewhat relieve psychological distress; 2) self-esteem and body image obtained from cosmetic surgery can resolve the distressing aftereffects of childhood trauma that occur later in life; and 3) the perceived sense of beauty achieved from cosmetic surgery contributes to a certain degree of self-confidence in the short term and promotes appearance-enhancing behaviors while increasing the distress of others discovering their cosmetic surgery experiences. The implications of this study are that undergoing cosmetic surgery can have healing effects on childhood trauma; however, there are certain drawbacks that can occur, such as distress and an insatiable desire for or an “addiction” to surgery.

Highlights

  • It is difficult to define plastic surgery, it can be described as a procedure for the reparation of injury, surgical refinement of deformity, restoration of function, or reconstruction or alteration of the human body [1]

  • With the aim to shed light on the controversies surrounding cosmetic surgery, the present study explores the impact of cosmetic surgery on remedying childhood psychological trauma

  • Interviewees were asked to provide informed consent. Thereafter, they completed the Multidimensional Body-Self Relations Questionnaire Appearance Scales (MBSRQ-AS) [37], Fear of Negative Appearance Evaluation Scale (FNAES) [38], and Acceptance of Cosmetic Surgery Scale (ACSS) [39], in order to measure their attitudinal dispositions toward the physical self, the fear of negative feedback on their appearance, and the acceptance of cosmetic surgery, respectively

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Summary

INTRODUCTION

It is difficult to define plastic surgery, it can be described as a procedure for the reparation of injury, surgical refinement of deformity, restoration of function, or reconstruction or alteration of the human body [1]. One study found that people who underwent cosmetic surgery reported an increase in their self-confidence levels [15] and improvements in their interpersonal relationships [1]. Individuals combine and internalize the information received from family, peers, and social media to create an ideal body standard for themselves This standard of measurement evokes self-judgment on his or her image and is manifestly linked to an individual’s emotional state regarding body image. Peer influence on body image begins in childhood and continues into adolescence and young adulthood. [35]] on body image dissatisfaction and BDD, researchers have seldom focused on healing childhood psychological trauma by undergoing cosmetic procedures. A previous study revealed that childhood bullying victims are at an increased risk of undergoing cosmetic surgery in adulthood [30].

Participants
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Ethical Considerations
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RESULTS
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ETHICS STATEMENT
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