{"formatVersion":"1.1","id":"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery","path":"/library/the-psychology-behind-cosmetic-surgery","url":"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery","title":"The Psychology Behind Cosmetic Surgery","family":"Library detail","description":"Learn how cosmetic surgery shapes self-worth, beauty standards and identity in a culture driven by perfection.","language":"en-US","access":{"audience":"public","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery","wordpressId":"5813","contentCompleteness":"complete","dateScope":"original-source"},"authors":[{"@type":"Person","@id":"https://www.mentalhealth.com/people/mandy-kloppers#person","name":"Mandy Kloppers","url":"https://www.mentalhealth.com/people/mandy-kloppers"},{"@type":"Person","@id":"https://www.mentalhealth.com/people/patrick-nagle#person","name":"Patrick Nagle","url":"https://www.mentalhealth.com/people/patrick-nagle"}],"reviewer":{"@type":"Person","@id":"https://www.mentalhealth.com/people/carlos-protzel#person","name":"Carlos Protzel, Psy.D.","url":"https://www.mentalhealth.com/people/carlos-protzel"},"dates":{"datePublished":"2025-06-18T06:47:11Z","dateModified":"2025-11-28T04:27:08Z","lastReviewed":"2025-06-18"},"content":{"html":"<nav aria-label=\"Breadcrumb\" class=\"breadcrumbs\"><ol><li><a href=\"https://www.mentalhealth.com/\">Home</a></li><li><a href=\"https://www.mentalhealth.com/library\">Library</a></li><li><a href=\"https://www.mentalhealth.com/library/psychology\">Psychology</a></li><li><span aria-current=\"page\">The Psychology Behind Cosmetic Surgery</span></li></ol></nav><div class=\"article-page article-standard\" data-library-standard=\"\"><div class=\"article-main-grid\"><header class=\"article-heading\"><h1>The Psychology Behind Cosmetic Surgery</h1><p class=\"article-inline-credits\"><span class=\"credit-row\">Medically reviewed by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/carlos-protzel\">Carlos Protzel, Psy.D.</a></span><span class=\"credit-row\">Written by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/mandy-kloppers\">Mandy Kloppers</a> and <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/patrick-nagle\">Patrick Nagle</a></span></p><div class=\"article-dates\"><span>Published on <time datetime=\"2025-06-18T06:47:11Z\">June 18, 2025</time></span><span aria-hidden=\"true\"> · </span><span>Updated on <time datetime=\"2025-11-28T04:27:08Z\">November 28, 2025</time></span></div></header><div class=\"article-jumpbar\"></div><div class=\"article-layout\"><div class=\"article-reading\"><article class=\"prose\" id=\"article-content\"><div class=\"article-intro\" data-source-field=\"hero\"><p>The desire to enhance one’s appearance is not new, but in the digital age, it has become both more visible and more urgent. Cosmetic surgery, now more accessible and socially accepted, offers the promise of transformation. </p><p>For many, these procedures carry the hope of increased confidence or relief from long-standing insecurities. Yet they also raise complex questions about self-perception, societal pressure, and the emotional cost of aligning our bodies with cultural ideals.</p></div><figure class=\"article-feature\"><img alt=\"A woman holds a phone with a questioning expression.\" decoding=\"async\" height=\"666\" loading=\"eager\" src=\"https://www.mentalhealth.com/assets/optimized/4085a819833e40ae2503db84.webp\" width=\"1000\"></figure><section aria-labelledby=\"key-takeaways\" class=\"article-takeaways\"><h2 id=\"key-takeaways\">Key takeaways</h2><ul><li>Cosmetic surgery decisions can reflect personal identity, social beauty standards, and a desire for greater confidence.</li><li>Changing appearance may not resolve underlying insecurity or dependence on external validation.</li><li>Examining motivations, expectations, and emotional or financial costs supports a more considered decision.</li></ul></section><h2 id=\"beauty-standards-and-self-perception\">Beauty Standards and Self-Perception</h2><p>The pursuit of beauty is deeply ingrained in modern culture, shaping how individuals perceive themselves and others. Media, advertising, and social platforms constantly reinforce narrow ideals of attractiveness through carefully curated and digitally enhanced images. These unattainable standards contribute to self-doubt and insecurity, particularly among women, who often feel pressured to conform⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#influence-social-media-use-body-image-well-being-among\" data-reference-link=\"\" aria-label=\"Reference 1: Vincente-Benito I. &amp; Ramírez-Durán M.D.V. (n.d.). Influence of Social Media Use on Body Image and Well-Being Among Adolescents and Young Adults: A Systematic Review. journals.healio.com. Accessed June 18 2025.\" data-reference-number=\"1\">[1]</a></sup>.</p><p>Idealized images on social media can affect body image and <a href=\"https://www.mentalhealth.com/library/self-esteem-development-management\" class=\"article-inline-link\" data-context-link=\"355\">self-esteem</a>, especially in adolescence. The American Academy of Pediatrics notes that young people differ in their susceptibility to these effects. This supports discussing media pressures without assuming that everyone responds in the same way or will seek cosmetic surgery⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#impact-social-media-use-body-image-disordered-eating-behaviors\" data-reference-link=\"\" aria-label=\"Reference 2: Moreno, M. A., &amp; Radesky, J. (2026). Social Media &amp; Your Child’s Mental Health: What the Research Says. American Academy of Pediatrics, HealthyChildren.org. healthychildren.org. Accessed October 10 2026.\" data-reference-number=\"2\">[2]</a></sup>.</p><p>As a result, many turn to cosmetic enhancements in the hope of aligning with these ideals, believing that changing their outward appearance will improve their self-worth and social acceptance. However, the bigger issue lies in how beauty is defined and internalized, making self-perception not just a reflection of reality, but of cultural influence and external validation.</p><section aria-label=\"Subject matter expert\" class=\"article-expert article-expert-inline\" data-expert-kind=\"related\" data-expert-layout=\"standard\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><a href=\"https://www.mentalhealth.com/people/roy-sugarman\" class=\"card-identity-photo\" aria-label=\"Roy Sugarman, Ph.D.\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/7ff1067904bc3b3ec0bfb453.jpg\" width=\"64\" decoding=\"async\"></a><h2><a href=\"https://www.mentalhealth.com/people/roy-sugarman\">Roy Sugarman, Ph.D.</a></h2></div><p class=\"article-expert-focus\">Neuroscience and clinical mental health</p><a href=\"https://www.mentalhealth.com/people/roy-sugarman\" class=\"quiet-button\">View profile</a></section><h2 id=\"normalization-of-cosmetic-surgery\">Normalization of Cosmetic Surgery</h2><p>As the cosmetic-surgery industry flourishes, medical advancements have made procedures more accessible and refined⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#american-academy-facial-plastic-reconstructive-surgery-aafprs\" data-reference-link=\"\" aria-label=\"Reference 3: American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). (2024). AAFPRS 2024 Annual Trends Survey – Press Release. aafprs.org. Accessed October 10 2026.\" data-reference-number=\"3\">[3]</a></sup>. While many seek enhancements for personal reasons, it is important to examine whether these decisions stem from genuine self-improvement or external pressures.</p><p>Cosmetic surgery can change appearance, but expectations about its effects on life and self-esteem need to be realistic. Mayo Clinic recommends discussing motives, desired outcomes, risks, and recovery with the surgical team. Results vary, and a physical change cannot guarantee a broader emotional transformation⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#psychosocial-outcomes-following-cosmetic-surgery-largely-unknown-systematic-review\" data-reference-link=\"\" aria-label=\"Reference 4: Mayo Clinic Staff. (2024). Cosmetic surgery. Mayo Clinic. Mayo Clinic. Accessed October 10 2026.\" data-reference-number=\"4\">[4]</a></sup>.</p><h2 id=\"who-am-i-visually\">Who Am I, Visually?</h2><p>Cosmetic surgery can become a tool for reshaping identity. For some, it offers the chance to correct features that have never aligned with their internal self-image. </p><p>For others, it becomes a way to disown a version of themselves they no longer identify with. These decisions carry emotional weight, as altering one’s appearance is rarely just about aesthetics; it’s a reflection of deeper questions about who we are, how we want to be seen, and whether we believe we are enough without change.</p><p>The body becomes a canvas for rewriting personal narratives, but this process can either affirm one’s identity or create dissonance if the results do not feel authentic.</p><h2 id=\"taking-control-of-the-body\">Taking Control of the Body</h2><p>In a world that often feels unpredictable, altering one's appearance can serve as a way to reclaim ownership of the self. For individuals who have <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/trauma\">experienced trauma</a>, rejection, or emotional chaos, cosmetic procedures may represent a form of control, something tangible they can direct.</p><p>This drive for control, however, can become compulsive. When change is pursued in response to pain rather than purpose, the sense of mastery may be fleeting. Cosmetic surgery cannot resolve the deeper emotional wounds that often fuel the desire for transformation.</p><h2 id=\"fear-aging-rejection-and-the-mirror\">Fear: Aging, Rejection, and the Mirror</h2><p>Fear is a powerful motivator behind cosmetic surgery. Fear of aging, fear of being overlooked, fear of never being enough. These fears are not shallow; they’re deeply human and reflect societal judgments about worth, vitality, and visibility.</p><p>Rather than confronting the cultural roots of these fears, cosmetic interventions often become a strategy to suppress them. But unacknowledged fear tends to resurface, especially when expectations go unmet or the desired emotional payoff never arrives. Long-term healing requires acknowledging these fears and working through them, not just covering them up.</p><h2 id=\"potential-gains-and-hidden-costs\">Potential Gains and Hidden Costs</h2><p>Cosmetic procedures exist along a spectrum of potential outcomes, from improved self-confidence to serious emotional and financial costs. For those considering surgery, it's essential to weigh these trade-offs with honesty and care. Below is a closer look at both the potential benefits and the risks, framed through a psychological lens:</p><ul class=\"wp-block-list\">\n<li><strong>Increased self-confidence:</strong> For some, refining a specific feature can lead to greater self-assurance and comfort in social settings.</li>\n<li><strong>Health improvements:</strong> Certain procedures, such as rhinoplasty for improved breathing or breast reductions to alleviate back pain, can offer functional benefits.</li>\n<li><strong>Enhanced psychological well-being:</strong> Addressing a long-standing insecurity may provide relief and positively impact overall life satisfaction.</li>\n<li><strong>Medical risks:</strong> Surgery comes with inherent complications, including infections, scarring, and anesthesia reactions⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#complications-cosmetic-surgery-time-reflect-review-not-sweep-them\" data-reference-link=\"\" aria-label=\"Reference 5: Khunger N. (n.d.). Complications in Cosmetic Surgery: A Time to Reflect and Review and Not Sweep Them Under the Carpet. jcasonline.com. Accessed October 10 2026.\" data-reference-number=\"5\">[5]</a></sup>.</li>\n<li><strong>Emotional impact:</strong> Some individuals experience dissatisfaction post-surgery, struggling with expectations versus reality.</li>\n<li><strong>Financial burden:</strong> Cosmetic procedures are costly, often requiring additional treatments or revisions, making affordability a concern⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#economic-burden-out-pocket-expenses-plastic-surgery-procedures\" data-reference-link=\"\" aria-label=\"Reference 6: Billig J.I., Chen J-S. &amp; Lu Y-T. (n.d.). The Economic Burden of Out-of-Pocket Expenses for Plastic Surgery Procedures. Lippincott Journals. Accessed June 18 2025.\" data-reference-number=\"6\">[6]</a></sup>.</li>\n<li><strong>Societal implications:</strong> The normalization of cosmetic surgery reinforces unrealistic beauty standards, affecting collective perceptions of self-worth.</li>\n</ul><h2 id=\"psychological-and-emotional-effects\">Psychological and Emotional Effects</h2><p>While many hope that altering their appearance will resolve inner struggles, research suggests otherwise. Individuals with pre-existing insecurities may continue to feel dissatisfied, leading to repeated procedures in search of unattainable perfection. </p><p><a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/body-dysmorphic-disorder\">Body dysmorphic disorder (BDD)</a> is a significant concern, as individuals with this condition obsess over perceived flaws and rarely find satisfaction through surgery⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#prevalence-body-dysmorphic-disorder-rhinoplasty-candidates-systematic-review-meta\" data-reference-link=\"\" aria-label=\"Reference 7: Nabavizadeh S.S., Naseri R. &amp; Sadeghi E. (n.d.). Prevalence of Body Dysmorphic Disorder in Rhinoplasty Candidates: A Systematic Review and Meta-Analysis. Wiley. Accessed June 18 2025.\" data-reference-number=\"7\">[7]</a></sup>. Ethical plastic surgeons are increasingly aware of BDD and may refuse procedures for individuals displaying signs of the disorder, encouraging them to seek psychological support instead.</p><span id=\"social-media-s-influence\" class=\"section-anchor-alias\" data-section-alias=\"social-medias-influence\" aria-hidden=\"true\"></span><h2 id=\"social-medias-influence\">Social Media’s Influence</h2><p><a href=\"https://www.mentalhealth.com/library/social-media\" class=\"article-inline-link\" data-context-link=\"358\">Social media</a> has amplified the obsession with physical appearance, often glorifying cosmetic procedures and portraying them as the ultimate solution for self-improvement. </p><p>Platforms like Instagram and TikTok are filled with influencers who showcase their surgically enhanced features, promoting the notion that beauty is synonymous with perfection. This exposure has led to a rise in younger individuals opting for procedures, sometimes without fully understanding the implications⁠<sup class=\"citation-group\"><a class=\"article-citation\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#social-media-influence-body-image-cosmetic-surgery-considerations-systematic\" data-reference-link=\"\" aria-label=\"Reference 8: Mironica A., Popescu C.A. &amp; George D. (n.d.). Social Media Influence on Body Image and Cosmetic Surgery Considerations: A Systematic Review. Cureus. Accessed October 10 2026.\" data-reference-number=\"8\">[8]</a></sup>.</p><p>Psychologically, the exposure to such content creates a cycle of dissatisfaction and comparison. Individuals who see digitally altered or surgically enhanced faces repeatedly may develop a distorted perception of what is natural or normal. This phenomenon contributes to increasing cases of <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/journal/an-examination-of-body-image-insecurity\">body-image issues</a>, further driving people toward surgical interventions.</p><h2 id=\"the-need-for-validation\">The Need for Validation</h2><p>Many individuals who pursue cosmetic surgery struggle with self-esteem and self-worth, often linking their value to external validation. Society frequently reinforces the idea that physical beauty equates to personal worth, leaving many to feel inadequate if they do not fit specific standards. This can lead to an ongoing quest for perfection, pushing people toward multiple cosmetic procedures in hopes of achieving social acceptance.</p><p>A significant factor driving these decisions is the need for attention and validation. In an era where social-media engagement is a currency of its own, people crave likes, comments, and positive reinforcement. The dopamine rush associated with online validation can <a class=\"article-inline-link\" href=\"https://www.mentalhealth.com/library/addiction\">create an addictive cycle</a>, where individuals seek continuous enhancements to maintain external approval.</p><p>However, the paradox is that cosmetic surgery does not always fulfill the deep-seated desire for self-worth. While a procedure may provide temporary confidence, the underlying insecurities often resurface, leading individuals to seek further modifications. This cycle can result in dissatisfaction, financial strain, and emotional distress, emphasizing the importance of addressing self-esteem through psychological support rather than surgical interventions alone.</p><span id=\"society-s-gaze\" class=\"section-anchor-alias\" data-section-alias=\"societys-gaze\" aria-hidden=\"true\"></span><h2 id=\"societys-gaze\">Society’s Gaze</h2><p>There is a darker side to society’s obsession with cosmetic procedures, a morbid fascination with extreme transformations, surgical mishaps, and drastic before-and-after cases. Reality television, social media, and online forums often sensationalize extreme plastic-surgery stories, portraying both the successes and the horror stories in ways that entertain rather than educate.</p><p>This fascination stems from a complex mix of curiosity, schadenfreude, and a deep-seated cultural obsession with beauty. People are drawn to shocking stories of botched surgeries, exaggerated enhancements, and individuals who take cosmetic alterations to the extreme. While these cases represent a minority, they garner significant attention, further distorting public perception of plastic surgery.</p><h2 id=\"choosing-with-care\">Choosing with Care</h2><p>Cosmetic surgery is a deeply personal decision shaped by individual motivations, societal expectations, and psychological factors. While some pursue it to correct a physical feature that has long affected their confidence, others may be influenced by fleeting beauty trends or external pressure. </p><p>Regardless of the reason, undergoing a procedure is a significant choice that demands careful consideration, thorough research, and consultation with medical professionals.</p><p>A balanced approach to cosmetic surgery should include promoting body positivity, setting realistic expectations, and supporting emotional well-being. True confidence comes not from perfection, but from self-acceptance, and a strong sense of self-worth must come from within, regardless of any surgical enhancements.</p></article><div class=\"article-endmatter\"><section class=\"article-sources\" data-reference-list=\"\" data-reference-style=\"author-date-title-source\" data-source-references=\"\" id=\"references\"><h2 id=\"references-2\">References</h2><ol><li id=\"influence-social-media-use-body-image-well-being-among\" value=\"1\" data-reference-number=\"1\" data-reference-format=\"393\">Vincente-Benito I. &amp; Ramírez-Durán M.D.V. (n.d.). <em class=\"reference-title\">Influence of Social Media Use on Body Image and Well-Being Among Adolescents and Young Adults: A Systematic Review.</em> <a href=\"https://journals.healio.com/doi/10.3928/02793695-20230524-02?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-the-psychology-behind-cosmetic-surgery&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">journals.healio.com</a>. Accessed June 18 2025.</li><li id=\"impact-social-media-use-body-image-disordered-eating-behaviors\" value=\"2\" data-reference-number=\"2\" data-reference-format=\"393\">Moreno, M. A., &amp; Radesky, J. (2026). <em class=\"reference-title\">Social Media &amp; Your Child’s Mental Health: What the Research Says.</em> American Academy of Pediatrics, HealthyChildren.org. <a href=\"https://www.healthychildren.org/English/family-life/Media/Pages/social-media-and-your-childs-mental-health-what-research-says.aspx?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-the-psychology-behind-cosmetic-surgery&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">healthychildren.org</a>. Accessed October 10 2026.</li><li id=\"american-academy-facial-plastic-reconstructive-surgery-aafprs\" value=\"3\" data-reference-number=\"3\" data-reference-format=\"393\"><em class=\"reference-title\">American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).</em> (2024). AAFPRS 2024 Annual Trends Survey – Press Release. <a href=\"https://www.aafprs.org/Media/Press_Releases/2024_Annual_Trends_Survey.aspx?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-the-psychology-behind-cosmetic-surgery&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">aafprs.org</a>. Accessed October 10 2026.</li><li id=\"psychosocial-outcomes-following-cosmetic-surgery-largely-unknown-systematic-review\" value=\"4\" data-reference-number=\"4\" data-reference-format=\"393\">Mayo Clinic Staff. (2024). <em class=\"reference-title\">Cosmetic surgery.</em> Mayo Clinic. <a href=\"https://www.mayoclinic.org/tests-procedures/cosmetic-surgery/about/pac-20385138?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-the-psychology-behind-cosmetic-surgery&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">Mayo Clinic</a>. Accessed October 10 2026.</li><li id=\"complications-cosmetic-surgery-time-reflect-review-not-sweep-them\" value=\"5\" data-reference-number=\"5\" data-reference-format=\"393\">Khunger N. (n.d.). <em class=\"reference-title\">Complications in Cosmetic Surgery: A Time to Reflect and Review and Not Sweep Them Under the Carpet.</em> <a href=\"https://jcasonline.com/complications-in-cosmetic-surgery-a-time-to-reflect-and-review-and-not-sweep-them-under-the-carpet/?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-the-psychology-behind-cosmetic-surgery&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">jcasonline.com</a>. Accessed October 10 2026.</li><li id=\"economic-burden-out-pocket-expenses-plastic-surgery-procedures\" value=\"6\" data-reference-number=\"6\" data-reference-format=\"393\">Billig J.I., Chen J-S. &amp; Lu Y-T. (n.d.). <em class=\"reference-title\">The Economic Burden of Out-of-Pocket Expenses for Plastic Surgery Procedures.</em> <a href=\"https://journals.lww.com/10.1097/PRS.0000000000006847?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-the-psychology-behind-cosmetic-surgery&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">Lippincott Journals</a>. Accessed June 18 2025.</li><li id=\"prevalence-body-dysmorphic-disorder-rhinoplasty-candidates-systematic-review-meta\" value=\"7\" data-reference-number=\"7\" data-reference-format=\"393\">Nabavizadeh S.S., Naseri R. &amp; Sadeghi E. (n.d.). <em class=\"reference-title\">Prevalence of Body Dysmorphic Disorder in Rhinoplasty Candidates: A Systematic Review and Meta-Analysis.</em> <a href=\"https://onlinelibrary.wiley.com/doi/10.1002/hsr2.1495?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-the-psychology-behind-cosmetic-surgery&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">Wiley</a>. Accessed June 18 2025.</li><li id=\"social-media-influence-body-image-cosmetic-surgery-considerations-systematic\" value=\"8\" data-reference-number=\"8\" data-reference-format=\"393\">Mironica A., Popescu C.A. &amp; George D. (n.d.). <em class=\"reference-title\">Social Media Influence on Body Image and Cosmetic Surgery Considerations: A Systematic Review.</em> <a href=\"https://www.cureus.com/articles/276677-social-media-influence-on-body-image-and-cosmetic-surgery-considerations-a-systematic-review?utm_medium=referral&amp;utm_campaign=libra&amp;utm_content=external_resource&amp;utm_id=site-library-the-psychology-behind-cosmetic-surgery&amp;utm_source=mentalhealth.com\" target=\"_blank\" rel=\"nofollow noopener noreferrer\" class=\"reference-source\">Cureus</a>. Accessed October 10 2026.</li></ol></section><section class=\"article-medical article-panel\"><h2 id=\"medical-content\">Medical Content</h2><p><a href=\"https://www.mentalhealth.com/clinical-affairs\">The Clinical Affairs Team</a> at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the <a href=\"https://www.mentalhealth.com/publishing/editorial-policy\">Editorial Policy</a>.</p></section><section class=\"article-about article-panel\"><h2 id=\"about-mentalhealth-com\">About MentalHealth.com</h2><p>MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.</p><div class=\"article-contributors\"><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/mandy-kloppers\" class=\"card-identity-photo\" aria-label=\"Mandy Kloppers\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/7be9ab5885791f4114384c58.jpg\" width=\"64\" decoding=\"async\"></a><div><p class=\"article-bio-role\">Author</p><h3 id=\"mandy-kloppers\"><a href=\"https://www.mentalhealth.com/people/mandy-kloppers\">Mandy Kloppers</a></h3><p class=\"article-bio-credentials\">Writer</p><p>Mandy Kloppers has been working in the mental health field for more than eight years and has worked with a diverse group of clients, including people with learning disabilities, the elderly suffering from dementia, and mentally ill patients detained in medium and high-secure units.</p><dl><div><dt>Published</dt><dd><time datetime=\"2025-06-18T06:47:11Z\">June 18, 2025</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2025-11-28T04:27:08Z\">November 28, 2025</time></dd></div></dl></div></section><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/patrick-nagle\" class=\"card-identity-photo\" aria-label=\"Patrick Nagle\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/8af2743f6b0f153fa8424143.jpg\" width=\"64\" decoding=\"async\"></a><div><p class=\"article-bio-role\">Co-author</p><h3 id=\"patrick-nagle\"><a href=\"https://www.mentalhealth.com/people/patrick-nagle\">Patrick Nagle</a></h3><p class=\"article-bio-credentials\">Founder, CEO</p><p>Patrick Nagle is an accomplished tech entrepreneur and venture investor. Driven by personal and professional experience, he is committed to building a better mental health system.</p><dl><div><dt>Published</dt><dd><time datetime=\"2025-06-18T06:47:11Z\">June 18, 2025</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2025-11-28T04:27:08Z\">November 28, 2025</time></dd></div></dl></div></section><section class=\"article-bio\"><a href=\"https://www.mentalhealth.com/people/carlos-protzel\" class=\"card-identity-photo\" aria-label=\"Carlos Protzel, Psy.D.\"><img alt=\"\" height=\"64\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/8e1ee0ec187d4c3ff0be4ad3.jpg\" width=\"64\" decoding=\"async\"></a><div><p class=\"article-bio-role\">Medical Reviewer</p><h3 id=\"carlos-protzel-psy-d\"><a href=\"https://www.mentalhealth.com/people/carlos-protzel\">Carlos Protzel, Psy.D.</a></h3><p class=\"article-bio-credentials\">Clinical Care Director</p><p>Carlos Protzel, Psy.D., LCSW, is a PSYPACT-certified psychologist with 25+ years of experience. He specializes in integrative care using evidence-based and humanistic therapies.</p><dl><div><dt>Reviewed</dt><dd><time datetime=\"2025-06-18\">June 18, 2025</time></dd></div></dl></div></section></div></section><section aria-label=\"Related community\" class=\"article-topic-community article-topic-community-end\"><a href=\"https://www.mentalhealth.com/community/psychology\" class=\"card-identity-photo\" aria-label=\"Psychology\"><img alt=\"\" class=\"topic-community-banner\" height=\"800\" loading=\"lazy\" src=\"https://www.mentalhealth.com/assets/optimized/3afc898c776f007c7c50472e.webp\" width=\"1200\" decoding=\"async\" srcset=\"/assets/responsive/8538cdeb4369f280f7ec2dc6.webp 800w, /assets/optimized/3afc898c776f007c7c50472e.webp 1200w\" sizes=\"(min-width: 961px) 236px, calc(100vw - 80px)\"></a><p class=\"topic-community-label\">Related community</p><h2><a href=\"https://www.mentalhealth.com/community/psychology\">Psychology</a></h2><p>Explore the ideas and everyday questions behind thoughts, feelings, and human behavior.</p></section></div></div><aside aria-label=\"Article navigation and related information\" class=\"article-sidebar\" data-bounded-rail=\"\" tabindex=\"0\"><details class=\"article-contents\" data-expanded=\"false\" data-scrolled-past=\"false\" data-section-preview=\"3\" open=\"\"><summary><strong>Table of contents</strong><span aria-hidden=\"true\"></span><small data-current-section=\"\">Choose a section</small></summary><nav aria-label=\"Article contents\"><ol id=\"article-section-list\"><li><a aria-label=\"Beauty Standards and Self-Perception\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#beauty-standards-and-self-perception\" title=\"Beauty Standards and Self-Perception\">Beauty Standards and Self-Perception</a></li><li><a aria-label=\"Normalization of Cosmetic Surgery\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#normalization-of-cosmetic-surgery\" title=\"Normalization of Cosmetic Surgery\">Normalization of Cosmetic Surgery</a></li><li><a aria-label=\"Who Am I, Visually?\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#who-am-i-visually\" title=\"Who Am I, Visually?\">Who Am I, Visually?</a></li><li><a aria-label=\"Taking Control of the Body\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#taking-control-of-the-body\" title=\"Taking Control of the Body\">Taking Control of the Body</a></li><li><a aria-label=\"Fear: Aging, Rejection, and the Mirror\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#fear-aging-rejection-and-the-mirror\" title=\"Fear: Aging, Rejection, and the Mirror\">Fear: Aging, Rejection, and the Mirror</a></li><li><a aria-label=\"Potential Gains and Hidden Costs\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#potential-gains-and-hidden-costs\" title=\"Potential Gains and Hidden Costs\">Potential Gains and Hidden Costs</a></li><li><a aria-label=\"Psychological and Emotional Effects\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#psychological-and-emotional-effects\" title=\"Psychological and Emotional Effects\">Psychological and Emotional Effects</a></li><li><a aria-label=\"Social Media’s Influence\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#social-medias-influence\" title=\"Social Media’s Influence\">Social Media’s Influence</a></li><li><a aria-label=\"The Need for Validation\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#the-need-for-validation\" title=\"The Need for Validation\">The Need for Validation</a></li><li><a aria-label=\"Society’s Gaze\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#societys-gaze\" title=\"Society’s Gaze\">Society’s Gaze</a></li><li><a aria-label=\"Choosing with Care\" href=\"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#choosing-with-care\" title=\"Choosing with Care\">Choosing with Care</a></li></ol><button aria-controls=\"article-section-list\" aria-expanded=\"false\" class=\"article-sections-toggle\" data-sections-toggle=\"\" type=\"button\">View more</button></nav></details></aside></div></div></div>","text":"Home Library Psychology The Psychology Behind Cosmetic Surgery The Psychology Behind Cosmetic Surgery Medically reviewed by Carlos Protzel, Psy.D.Written by Mandy Kloppers and Patrick Nagle Published on June 18, 2025 · Updated on November 28, 2025 The desire to enhance one’s appearance is not new, but in the digital age, it has become both more visible and more urgent. Cosmetic surgery, now more accessible and socially accepted, offers the promise of transformation. For many, these procedures carry the hope of increased confidence or relief from long-standing insecurities. Yet they also raise complex questions about self-perception, societal pressure, and the emotional cost of aligning our bodies with cultural ideals. Key takeaways Cosmetic surgery decisions can reflect personal identity, social beauty standards, and a desire for greater confidence. Changing appearance may not resolve underlying insecurity or dependence on external validation. Examining motivations, expectations, and emotional or financial costs supports a more considered decision. Beauty Standards and Self-Perception The pursuit of beauty is deeply ingrained in modern culture, shaping how individuals perceive themselves and others. Media, advertising, and social platforms constantly reinforce narrow ideals of attractiveness through carefully curated and digitally enhanced images. These unattainable standards contribute to self-doubt and insecurity, particularly among women, who often feel pressured to conform⁠[1]. Idealized images on social media can affect body image and self-esteem, especially in adolescence. The American Academy of Pediatrics notes that young people differ in their susceptibility to these effects. This supports discussing media pressures without assuming that everyone responds in the same way or will seek cosmetic surgery⁠[2]. As a result, many turn to cosmetic enhancements in the hope of aligning with these ideals, believing that changing their outward appearance will improve their self-worth and social acceptance. However, the bigger issue lies in how beauty is defined and internalized, making self-perception not just a reflection of reality, but of cultural influence and external validation. Subject matter expert Roy Sugarman, Ph.D. Neuroscience and clinical mental health View profile Normalization of Cosmetic Surgery As the cosmetic-surgery industry flourishes, medical advancements have made procedures more accessible and refined⁠[3]. While many seek enhancements for personal reasons, it is important to examine whether these decisions stem from genuine self-improvement or external pressures. Cosmetic surgery can change appearance, but expectations about its effects on life and self-esteem need to be realistic. Mayo Clinic recommends discussing motives, desired outcomes, risks, and recovery with the surgical team. Results vary, and a physical change cannot guarantee a broader emotional transformation⁠[4]. Who Am I, Visually? Cosmetic surgery can become a tool for reshaping identity. For some, it offers the chance to correct features that have never aligned with their internal self-image. For others, it becomes a way to disown a version of themselves they no longer identify with. These decisions carry emotional weight, as altering one’s appearance is rarely just about aesthetics; it’s a reflection of deeper questions about who we are, how we want to be seen, and whether we believe we are enough without change. The body becomes a canvas for rewriting personal narratives, but this process can either affirm one’s identity or create dissonance if the results do not feel authentic. Taking Control of the Body In a world that often feels unpredictable, altering one's appearance can serve as a way to reclaim ownership of the self. For individuals who have experienced trauma, rejection, or emotional chaos, cosmetic procedures may represent a form of control, something tangible they can direct. This drive for control, however, can become compulsive. When change is pursued in response to pain rather than purpose, the sense of mastery may be fleeting. Cosmetic surgery cannot resolve the deeper emotional wounds that often fuel the desire for transformation. Fear: Aging, Rejection, and the Mirror Fear is a powerful motivator behind cosmetic surgery. Fear of aging, fear of being overlooked, fear of never being enough. These fears are not shallow; they’re deeply human and reflect societal judgments about worth, vitality, and visibility. Rather than confronting the cultural roots of these fears, cosmetic interventions often become a strategy to suppress them. But unacknowledged fear tends to resurface, especially when expectations go unmet or the desired emotional payoff never arrives. Long-term healing requires acknowledging these fears and working through them, not just covering them up. Potential Gains and Hidden Costs Cosmetic procedures exist along a spectrum of potential outcomes, from improved self-confidence to serious emotional and financial costs. For those considering surgery, it's essential to weigh these trade-offs with honesty and care. Below is a closer look at both the potential benefits and the risks, framed through a psychological lens: Increased self-confidence: For some, refining a specific feature can lead to greater self-assurance and comfort in social settings. Health improvements: Certain procedures, such as rhinoplasty for improved breathing or breast reductions to alleviate back pain, can offer functional benefits. Enhanced psychological well-being: Addressing a long-standing insecurity may provide relief and positively impact overall life satisfaction. Medical risks: Surgery comes with inherent complications, including infections, scarring, and anesthesia reactions⁠[5]. Emotional impact: Some individuals experience dissatisfaction post-surgery, struggling with expectations versus reality. Financial burden: Cosmetic procedures are costly, often requiring additional treatments or revisions, making affordability a concern⁠[6]. Societal implications: The normalization of cosmetic surgery reinforces unrealistic beauty standards, affecting collective perceptions of self-worth. Psychological and Emotional Effects While many hope that altering their appearance will resolve inner struggles, research suggests otherwise. Individuals with pre-existing insecurities may continue to feel dissatisfied, leading to repeated procedures in search of unattainable perfection. Body dysmorphic disorder (BDD) is a significant concern, as individuals with this condition obsess over perceived flaws and rarely find satisfaction through surgery⁠[7]. Ethical plastic surgeons are increasingly aware of BDD and may refuse procedures for individuals displaying signs of the disorder, encouraging them to seek psychological support instead. Social Media’s Influence Social media has amplified the obsession with physical appearance, often glorifying cosmetic procedures and portraying them as the ultimate solution for self-improvement. Platforms like Instagram and TikTok are filled with influencers who showcase their surgically enhanced features, promoting the notion that beauty is synonymous with perfection. This exposure has led to a rise in younger individuals opting for procedures, sometimes without fully understanding the implications⁠[8]. Psychologically, the exposure to such content creates a cycle of dissatisfaction and comparison. Individuals who see digitally altered or surgically enhanced faces repeatedly may develop a distorted perception of what is natural or normal. This phenomenon contributes to increasing cases of body-image issues, further driving people toward surgical interventions. The Need for Validation Many individuals who pursue cosmetic surgery struggle with self-esteem and self-worth, often linking their value to external validation. Society frequently reinforces the idea that physical beauty equates to personal worth, leaving many to feel inadequate if they do not fit specific standards. This can lead to an ongoing quest for perfection, pushing people toward multiple cosmetic procedures in hopes of achieving social acceptance. A significant factor driving these decisions is the need for attention and validation. In an era where social-media engagement is a currency of its own, people crave likes, comments, and positive reinforcement. The dopamine rush associated with online validation can create an addictive cycle, where individuals seek continuous enhancements to maintain external approval. However, the paradox is that cosmetic surgery does not always fulfill the deep-seated desire for self-worth. While a procedure may provide temporary confidence, the underlying insecurities often resurface, leading individuals to seek further modifications. This cycle can result in dissatisfaction, financial strain, and emotional distress, emphasizing the importance of addressing self-esteem through psychological support rather than surgical interventions alone. Society’s Gaze There is a darker side to society’s obsession with cosmetic procedures, a morbid fascination with extreme transformations, surgical mishaps, and drastic before-and-after cases. Reality television, social media, and online forums often sensationalize extreme plastic-surgery stories, portraying both the successes and the horror stories in ways that entertain rather than educate. This fascination stems from a complex mix of curiosity, schadenfreude, and a deep-seated cultural obsession with beauty. People are drawn to shocking stories of botched surgeries, exaggerated enhancements, and individuals who take cosmetic alterations to the extreme. While these cases represent a minority, they garner significant attention, further distorting public perception of plastic surgery. Choosing with Care Cosmetic surgery is a deeply personal decision shaped by individual motivations, societal expectations, and psychological factors. While some pursue it to correct a physical feature that has long affected their confidence, others may be influenced by fleeting beauty trends or external pressure. Regardless of the reason, undergoing a procedure is a significant choice that demands careful consideration, thorough research, and consultation with medical professionals. A balanced approach to cosmetic surgery should include promoting body positivity, setting realistic expectations, and supporting emotional well-being. True confidence comes not from perfection, but from self-acceptance, and a strong sense of self-worth must come from within, regardless of any surgical enhancements. References Vincente-Benito I. & Ramírez-Durán M.D.V. (n.d.). Influence of Social Media Use on Body Image and Well-Being Among Adolescents and Young Adults: A Systematic Review. journals.healio.com. Accessed June 18 2025. Moreno, M. A., & Radesky, J. (2026). Social Media & Your Child’s Mental Health: What the Research Says. American Academy of Pediatrics, HealthyChildren.org. healthychildren.org. Accessed October 10 2026. American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). (2024). AAFPRS 2024 Annual Trends Survey – Press Release. aafprs.org. Accessed October 10 2026. Mayo Clinic Staff. (2024). Cosmetic surgery. Mayo Clinic. Mayo Clinic. Accessed October 10 2026. Khunger N. (n.d.). Complications in Cosmetic Surgery: A Time to Reflect and Review and Not Sweep Them Under the Carpet. jcasonline.com. Accessed October 10 2026. Billig J.I., Chen J-S. & Lu Y-T. (n.d.). The Economic Burden of Out-of-Pocket Expenses for Plastic Surgery Procedures. Lippincott Journals. Accessed June 18 2025. Nabavizadeh S.S., Naseri R. & Sadeghi E. (n.d.). Prevalence of Body Dysmorphic Disorder in Rhinoplasty Candidates: A Systematic Review and Meta-Analysis. Wiley. Accessed June 18 2025. Mironica A., Popescu C.A. & George D. (n.d.). Social Media Influence on Body Image and Cosmetic Surgery Considerations: A Systematic Review. Cureus. Accessed October 10 2026. Medical Content The Clinical Affairs Team at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the Editorial Policy. About MentalHealth.com MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life. Author Mandy Kloppers Writer Mandy Kloppers has been working in the mental health field for more than eight years and has worked with a diverse group of clients, including people with learning disabilities, the elderly suffering from dementia, and mentally ill patients detained in medium and high-secure units. Published June 18, 2025 Updated November 28, 2025 Co-author Patrick Nagle Founder, CEO Patrick Nagle is an accomplished tech entrepreneur and venture investor. Driven by personal and professional experience, he is committed to building a better mental health system. Published June 18, 2025 Updated November 28, 2025 Medical Reviewer Carlos Protzel, Psy.D. Clinical Care Director Carlos Protzel, Psy.D., LCSW, is a PSYPACT-certified psychologist with 25+ years of experience. He specializes in integrative care using evidence-based and humanistic therapies. Reviewed June 18, 2025 Related community Psychology Explore the ideas and everyday questions behind thoughts, feelings, and human behavior. Table of contentsChoose a section Beauty Standards and Self-Perception Normalization of Cosmetic Surgery Who Am I, Visually? Taking Control of the Body Fear: Aging, Rejection, and the Mirror Potential Gains and Hidden Costs Psychological and Emotional Effects Social Media’s Influence The Need for Validation Society’s Gaze Choosing with Care View more","wordCount":1955},"schema":{"@context":"https://schema.org","@graph":[{"@type":"Organization","@id":"https://www.mentalhealth.com/#organization","name":"MentalHealth.com","url":"https://www.mentalhealth.com/","publishingPrinciples":"https://www.mentalhealth.com/publishing/editorial-policy"},{"@type":"WebSite","@id":"https://www.mentalhealth.com/#website","url":"https://www.mentalhealth.com/","name":"MentalHealth.com","inLanguage":"en-US","publisher":{"@id":"https://www.mentalhealth.com/#organization"}},{"@type":"BreadcrumbList","@id":"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.mentalhealth.com/"},{"@type":"ListItem","position":2,"name":"Library","item":"https://www.mentalhealth.com/library"},{"@type":"ListItem","position":3,"name":"Psychology","item":"https://www.mentalhealth.com/library/psychology"},{"@type":"ListItem","position":4,"name":"The Psychology Behind Cosmetic Surgery","item":"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery"}]},{"@type":"ImageObject","@id":"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#primaryimage","url":"https://www.mentalhealth.com/assets/optimized/4085a819833e40ae2503db84.webp","contentUrl":"https://www.mentalhealth.com/assets/optimized/4085a819833e40ae2503db84.webp","width":1000,"height":666,"encodingFormat":"image/webp","caption":"A woman holds a phone with a questioning expression."},{"@type":"Person","@id":"https://www.mentalhealth.com/people/mandy-kloppers#person","name":"Mandy Kloppers","url":"https://www.mentalhealth.com/people/mandy-kloppers","jobTitle":"Writer","image":"https://www.mentalhealth.com/assets/optimized/7be9ab5885791f4114384c58.jpg","sameAs":["https://www.linkedin.com/in/mandy-kloppers-b0a58b10/"],"memberOf":[{"@id":"https://www.mentalhealth.com/publishing#department"}]},{"@type":"Person","@id":"https://www.mentalhealth.com/people/patrick-nagle#person","name":"Patrick Nagle","url":"https://www.mentalhealth.com/people/patrick-nagle","jobTitle":"Founder, CEO","image":"https://www.mentalhealth.com/assets/optimized/8af2743f6b0f153fa8424143.jpg","sameAs":["https://www.linkedin.com/in/patricknagle/"],"memberOf":[{"@id":"https://www.mentalhealth.com/leadership#department"},{"@id":"https://www.mentalhealth.com/digital-operations#department"}]},{"@type":"Person","@id":"https://www.mentalhealth.com/people/carlos-protzel#person","name":"Carlos Protzel, Psy.D.","url":"https://www.mentalhealth.com/people/carlos-protzel","jobTitle":"Clinical Care Director","image":"https://www.mentalhealth.com/assets/optimized/8e1ee0ec187d4c3ff0be4ad3.jpg","sameAs":["https://www.linkedin.com/in/carlos-protzel-lcsw-psyd-aa73aa12/"],"memberOf":[{"@id":"https://www.mentalhealth.com/clinical-affairs#department"},{"@id":"https://www.mentalhealth.com/leadership#department"}]},{"@type":"Article","@id":"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#article","url":"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery","headline":"The Psychology Behind Cosmetic Surgery","description":"Learn how cosmetic surgery shapes self-worth, beauty standards and identity in a culture driven by perfection.","wordCount":1424,"mainEntityOfPage":{"@id":"https://www.mentalhealth.com/library/the-psychology-behind-cosmetic-surgery#webpage"},"publisher":{"@id":"https://www.mentalhealth.com/#organization"},"articleSection":"Psychology","citation":[{"@type":"CreativeWork","name":"Vincente-Benito I. & Ramírez-Durán M.D.V. 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