Predictors of the consideration of cosmetic surgery: Sociocultural influences and body dissatisfaction

Author/s Cristina Stefanile, Camilla Matera, Amanda Nerini, Letizia Pasciucco
Publishing Year 2015 Issue 2015/1 Language Italian
Pages 23 P. 108-130 File size 163 KB
DOI 10.3280/PDS2015-001010
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The aim of the present research was to identify psychosocial factors that affect the interest towards cosmetic surgery in general terms and targeted to modify specific parts of one’s body in young women. Participants (N = 203; mean age = 26.70, SD = 3.63) completed a questionnaire in order to assess peer attributions, media pressure, internalization of the body ideals, body dissatisfaction, consideration of cosmetic surgery in general, for breast modeling, and for surgery aimed at reducing body fat. Results suggest that the effects of media pressures and peer attributions on the consideration of cosmetic surgery both in general and for breast modeling are mediated by the internalization of body ideals. With respect to cosmetic surgery aimed at reducing body fat, body dissatisfaction and not internalization seemed to mediate the effect of media pressures and peer attributions. Moreover, peer attributions had also a direct effect on the interest in procedures aimed at reducing body fat. The present study provides an important contribution to understanding the growing interest in cosmetic surgery by the female population. The results may have important implications for preventive and health promotion intervention.

Keywords: Cosmetic surgery, breast plastic, liposuction, abdominoplasty, body dissatisfaction, peer influences, internalization, media pressure.

  1. American Society of Plastic Surgery (ASPS, 2012). Cosmetic procedures trends statistics. Retrieved from
  2. Bradbury E. (2009). Clinical risk in cosmetic surgery. Clinical Risk, 15(6): 227-231. DOI: 10.1258/cr.2009.09004
  3. Brown A., Furnham A., Glanville L. and Swami V. (2007). Factors that affect the likelihood of undergoing cosmetic surgery. Aesthetic Surgery Journal, 27(5): 501-508. DOI: 10.1016/j.asj.2007.06.00
  4. Carrion C., Rabin L.A., Weinberger-Litman S.L. and Fogel J. (2011). Body dissatisfaction as a mediator of the relationship between disordered eating and cosmetic surgery acceptance among Colombian university students. Journal of Cognitive and Behavioral Psychotherapies, 11(2): 143-156. Retrieved from http://jcbp.
  5. Delinsky S.S. (2005). Cosmetic surgery: A common and accepted form of selfimprovement? Journal of Applied Social Psychology, 35(10): 2012-2028. DOI: 10.1111/j.1559-1816.2005.tb0220
  6. Didie E.R. and Sarwer D.B. (2003). Factors that influence the decision to undergo cosmetic breast augmentation surgery. Journal of Women’s Health, 12(3): 241-253. DOI: 10.1089/15409990332166758
  7. Dowson J. and Henderson L. (2001). The validity of a short version of the Body Shape Questionnaire. Psychiatry Research, 102(3): 263-271. DOI: 10.1016/S0165-1781(01)00254-
  8. Frederick D.A., Lever J. and Peplau L.A. (2007). Interest in cosmetic surgery and body image: Views of men and women across the lifespan. Plastic and Reconstructive Surgery, 120(5): 1407-1417. DOI: 10.1097/01.prs.0000279375.26157.6
  9. Grossbart T.A. and Sarwer D.B. (2003). Psychosocial issues and their relevance to the cosmetic surgery patient. Seminars in Cutaneous Medicine and Surgery, 22(2): 136-147. DOI: 10.1053/sder.2003.5001
  10. Harrison K. (2003). Television viewers’ ideal body proportions: The case of the curvaceously thin woman. Sex Roles, 48(5-6): 255-264. DOI: 10.1023/A:102282542164
  11. Henderson-King D. and Henderson-King E. (2005). Acceptance of cosmetic surgery: Scale development and validation. Body Image, 2(2): 137-149. DOI: 10.1016/j.bodyim.2005.03.00
  12. Henderson-King D. and Brooks K.D. (2009). Materialism, sociocultural appearance messages, and parental attitudes predict college women’s attitudes about cosmetic surgery. Psychology of Women Quarterly, 33(1): 133-142. DOI: 10.1111/j.1471-6402.2008.01480.
  13. Hooper D., Coughlan J. and Mullen M. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6: 53-60. Retrieved from http: // = 183 International Society of Aesthetic Plastic Surgeons (ISAPS, 2011). Cosmetic procedures trends statistics. Retrieved from
  14. Javo I.M. and Sørlie T. (2009). Psychosocial predictors of an interest in cosmetic surgery among young Norwegian women: A population-based study. Plastic and Reconstructive Surgery, 124 (6): 2142-2148. DOI: 10.1097/PRS.0b013e3181bcf29
  15. Javo I.M. and Sørlie T. (2010). Psychosocial characteristics of young Norwegian women interested in liposuction, breast augmentation, rhinoplasty, and abdominoplasty: A population-based study. Plastic and Reconstructive Surgery, 125 (5): 1536-1543. DOI: 10.1097/PRS.0b013e3181d5135
  16. Jones D. and Crawford J.K. (2006). The peer appearance culture during adolescence: Gender and body mass variations. Journal of Youth and Adolescence, 35 (2): 257-269. DOI: 10.1007/s10964-005-9006-
  17. Larson, K. and Gosain A.K. (2012). Cosmetic surgery in the adolescent patient. Plastic and Reconstructive Surgery, 129 (1): 135e-141e. DOI: 10.1097/PRS.0b013e3182362bb
  18. Lieberman M. (2000). The association between peer relations, eating behaviors, and body esteem in adolescent girls. (Doctoral dissertation, Concordia University, Montreal, Canada). Retrieved from M., Gauvin L., Bukowski W.M. and White D.R. (2001). Interpersonal influence and disordered eating behaviors in adolescent girls: The role of peer modeling, social reinforcement and body-related teasing. Eating Behaviors, 2 (3): 215-236. DOI: 10.1016/S1471-0153(01)00030-
  19. Lunt N. and Carreras P. (2010). Medical tourism: Assessing the evidence on treatment abroad. Maturitas, 66 (1): 27-32. DOI: 10.1016/j.maturitas.2010.01.01
  20. Markey C.N. and Markey P.M. (2009). Correlates of young women’s interest in obtaining cosmetic surgery. Sex Roles, 61 (3-4): 158-166. DOI: 10.1007/s11199-009-9625-
  21. Markey C.N. and Markey P.M. (2010). A correlational and experimental examination of reality television viewing and interest in cosmetic surgery. Body Image, 7 (2): 165-171. DOI: 10.1016/j.bodyim.2009.10.00
  22. Markley Rountree, M.M. and Davis L. (2011). A dimensional qualitative research approach to understanding medically unnecessary aesthetic surgery. Psychology and Marketing, 28 (10): 1027-1043. DOI: 10.1002/mar.2042
  23. Matera C., Nerini A. and Stefanile C. (2013a). The role of peer influence on girl’s body dissatisfaction and dieting. European Review of Applied Psychology, 63 (2): 67-74. DOI: 10.1016/j.erap.2012.08.002MateraC.,NeriniA.eStefanileC.(2013b).Misurarel’insoddisfazionecorporea:ValidazionedellaversioneitalianadelBodyShapeQuestionnaire-14(BSQ-14)[Assessingbodydissatisfaction:ValidationoftheItalianversionoftheBodyShapeQuestionnaire-14(BSQ-14)].Counseling,6(2):235-244
  24. Menzel J.E., Sperry S.L., Small B., Thompson J.K., Sarwer D.B. and Cash T.F. (2011). Internalization of appearance ideals and cosmetic surgery attitudes: A test of the tripartite influence model of body image. Sex Roles, 65 (7-8): 469-477. DOI: 10.1007/s11199-011-9983-
  25. Mercer N. (2009). Clinical risk in aesthetic surgery. Clinical Risk, 15 (6): 215-217. DOI: 10.1258/cr.2009.09004
  26. Nahai F. (2009). Minimizing risk in aesthetic surgery. Clinical Risk, 15 (6): 232-236. DOI: 10.1258/cr.2009.09004
  27. Nerini A. (2009). Influenza dei media, autostima e insoddisfazione corporea in un gruppo di preadolescenti maschi e femmine [Media influence, self-esteem and body dissatisfaction in a group of preadolescent boys and girls]. Psicologia della Salute, 1: 69-84. DOI: 10.3280/PDS2009-00100
  28. Nerini A., Matera C. e Stefanile C. (2013). Acceptance of Cosmetic Surgery Scale: Proprietà psicometriche di una versione italiana [Acceptance of Cosmetic Surgery Scale: Psychometric properties of an Italian version]. Comunicazione presentata al X Congresso Nazionale della Società Italiana di Psicologia della Salute (SIPSa), Orvieto 10-12 Maggio.
  29. Nerini A., Matera C. and Stefanile C. (2014). Psychosocial predictors in consideration of cosmetic surgery among women. Aesthetic Plastic Surgery, 38(2): 461-466. DOI: 10.1007/s00266-014-0294-6
  30. Oliver K.K. and Thelen M.H. (1996). Children’s perceptions of peer influence on eating concerns. Behavior Therapy, 27 (1): 25-39. DOI: 10.1016/S0005-7894(96)80033-
  31. Park L.E., Calogero R.M., Harwin M.J. and DiRaddo A.M. (2009). Predicting interest in cosmetic surgery: Interactive effects of appearance-based rejection sensitivity and negative appearance comments. Body Image, 6(3): 186-193. DOI: 10.1016/j.bodyim.2009.02.00
  32. Preacher K.J. and Hayes A.F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40 (3): 879-891. DOI: 10.3758/BRM.40.3.87
  33. Sarwer D.B., Grossbart T.A. and Didie E.R. (2003). Beauty and society. Seminars in Cutaneous Medicine and Surgery, 22 (2): 79-92. DOI: 10.1053/sder.2003.5001
  34. Sarwer D.B., LaRossa D., Bartlett S.P., Low D.W., Bucky L.P. and Whitaker L.A. (2003). Body image concerns of breast augmentation patients. Plastic and Reconstructive Surgery, 112 (1): 83-90. DOI: 10.1097/01.PRS.0000066005.07796.5
  35. Sarwer D.B. and Crerand C.E. (2004). Body image and cosmetic medical treatments. Body Image, 1 (1): 99-111. DOI: 10.1016/S1740-1445(03)00003-
  36. Sarwer D.B., Cash T.F., Magee L., Williams E.F., Thompson J.K., Roehrig M., Tantleff-Dunn S., Agliata A.K., Wilfley D.E., Amidon A.D., Anderson D.A., and Romanofski M. (2005). Female college students and cosmetic surgery: An investigation of experiences, attitudes, and body image. Plastic and Reconstructive Surgery, 115 (3): 931-938. DOI: 10.1097/01.PRS.0000153204.37065.D
  37. Schermelleh-Engel K., Moosbrugger H. and Müller H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8: 23-74. Retrieved from
  38. Shroff H. (2004). An examination of peer-related risk and protective factors for body image disturbance and disordered eating among adolescent girls (Doctoral dissertation, South Florida University).
  39. Slevec J. and Tiggemann M. (2010). Attitudes toward cosmetic surgery in middle-aged women: body image, aging anxiety, and the media. Psychology of Women Quarterly, 34 (1): 65-74. DOI: 10.1111/j.1471-6402.2009.01542.
  40. Solvi A.S., Foss K., von Soest T., Roald H.E., Skolleborg K.C. and Holte, A. (2010). Motivational factors and psychological processes in cosmetic breast augmentation surgery. Journal of Plastic, Reconstructive and Aesthetic Surgery, 63 (4): 673-680. DOI: 10.1016/j.bjps.2009.01.02
  41. Sperry S., Thompson J.K., Sarwer D.B. and Cash T.F. (2009). Cosmetic surgery reality TV viewership: Relations with cosmetic surgery attitudes, body image, and disordered eating. Annals of Plastic Surgery, 62 (1): 7-11. DOI: 10.1097/SAP.0b013e31817e2cb
  42. Stefanile C., Matera C., Pisani E. e Zambrini I. (2009). Insoddisfazione corporea in adolescenza: Influenze di fattori bio-psico-sociali [Body dissatisfaction in adolescence: Influences of biopsychosocial factors]. Psicologia della Salute, 2: 51-65. DOI: 10.3280/PDS2009-00200
  43. Stefanile C., Pisani E., Matera C. e Guiderdoni V. (2010). Insoddisfazione corporea, comportamento alimentare e fattori di influenza socioculturale in adolescenza [Body dissatisfaction, eating behavior, and sociocultural influences in adolescence]. Comunicazione presentata al VIII Convegno Nazionale della Società Italiana di Psicologia di Comunità (SIPCO), Torino 16-17 Settembre.
  44. Stefanile C., Matera C., Nerini A. and Pisani E. (2011). Validation of an Italian version of the Sociocultural Attitudes Towards Appearance Questionnaire-3 (SATAQ-3) on adolescent girls. Body Image, 8 (4): 432-436. DOI: 10.1016/j.bodyim.2011.06.00
  45. Stefanile C., Nerini A. and Matera C. (2014). The factor structure and psychometric properties of the Italian version of the Acceptance Cosmetic Surgery Scale (ACSS). Body Image, 11(4): 370-379. DOI: 10.1016/j.bodyim.2014.06.00
  46. Swami V., Arteche A., Chamorro-Premuzic T., Furnham A., Stieger S., Haubner T. and Voracek M. (2008). Looking good: Factors affecting the likelihood of having cosmetic surgery. European Journal of Plastic Surgery, 30 (5): 211-218.
  47. Swami V. (2009). Body appreciation, media influence, and weight status predict consideration of cosmetic surgery among female undergraduates. Body Image, 6 (4): 315-317. DOI: 10.1016/j.bodyim.2009.07.00
  48. Swami V., Taylor R. and Carvalho C. (2009). Acceptance of cosmetic surgery and celebrity worship: Evidence of associations among female undergraduates. Personality and Individual Differences, 47 (8): 869-872. DOI: 10.1016/j.paid.2009.07.00
  49. Swami V., Chamorro-Premuzic T., Bridges S. and Furnham A. (2009). Acceptance of cosmetic surgery: Personality and individual difference predictors. Body Image, 6 (1): 7-13. DOI: 10.1016/j.bodyim.2008.09.00
  50. Swami V. and Mammadova A. (2012). Associations between consideration of cosmetic surgery, perfectionism dimensions, appearance schemas, relationship satisfaction, excessive reassurance-seeking, and love styles. Individual Differences Research, 10 (2): 81-94.
  51. Thompson J.K., Heinberg L.J., Altabe M. and Tantleff-Dunn S. (1999). Exacting beauty: Theory, assessment, and treatment of body image disturbance. Washington, DC: American Psychological Association.
  52. Thompson K.J., van den Berg P., Roehrig M., Guarda A.S., and Heinberg L.S. (2004). The Sociocultural Attitudes Towards Appearance Scale-3 (SATAQ-3): Development and validation. International Journal of Eating Disorders, 35 (3): 293-304. DOI: 10.1002/eat.10257
  53. Thompson J.K., Shroff H., Herbozo S., Cafri G., Rodriguez J. and Rodriguez M. (2007). Relations among multiple peer influences, body dissatisfaction, eating disturbance, and self-esteem: A comparison of average weight, at risk of overweight, and overweight adolescent girls. Journal of Pediatric Psychology, 32 (1): 24-29. DOI: 10.1093/jpepsy/jsl02
  54. Tomasetto C. e Privato V. (2013). Il peso dello stigma: Gli effetti di stereotipi e pregiudizio sulla salute delle persone obese [The weight of stigma: The impact of stereotypes and prejudice on obese individuals’ health]. Psicologia della Salute, 3: 75-99. DOI: 10.3280/PDS2013-00300
  55. von Soest T., Kvalem I.L., Skolleborg K.C. and Roald H.E. (2006). Psychosocial factors predicting the motivation to undergo cosmetic surgery. Plastic and Reconstructive Surgery, 117 (1): 51-62. DOI: 10.1097/01.prs.0000194902.89912.f
  56. von Soest T., Kvalem I.L. and Wichstrom L. (2012). Predictors of cosmetic surgery and its effects on psychological factors and mental health: a population based follow-up study among Norwegian females. Psychological Medicine, 42 (3): 617-626. DOI: 10.1017/S003329171100126
  57. Wong M., Moledina J. and Park A. (2007). A retrospective study examining the sociodemographic backgrounds of women undergoing bilateral breast augmentation at a private independent hospital in the United Kingdom. Aesthetic Plastic Surgery, 31 (5): 566-569. DOI 10.1007/s00266-006-0226-1
  58. Zuckerman D. and Abraham A. (2008). Teenagers and cosmetic surgery: Focus on breast augmentation and liposuction. Journal of Adolescent Health, 43 (4): 318-324. DOI: 10.1016/j.jadohealth.2008.04.01

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Cristina Stefanile, Camilla Matera, Amanda Nerini, Letizia Pasciucco, Predittori dell’interesse per la chirurgia estetica. Influenze socioculturali e insoddisfazione corporea in "PSICOLOGIA DELLA SALUTE" 1/2015, pp 108-130, DOI: 10.3280/PDS2015-001010