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patients use in selecting their providers will help plastic surgeons optimize the use of their resources. Downloaded from https://academic.oup.com/asj/article/33/4/585/204723 by guest on 19 August 2022 590 Aesthetic Surgery Journal 33(4) Conclusions Understanding public interest in aesthetic surgery, as well as the factors that govern patient selection of a surgeon and practice, are essential to the success of the practicing aesthetic surgeon. In our sample general population, nearly 90% of respondents would consider plastic surgery in the future. Surgeon reputation and board certification status were the 2 most important factors for surgeon selection, and the majority of patients preferred a surgicenter setting. Subjects cited fear of a poor result, cost, and fear of the recovery process as the principal reasons for refusing plastic surgery. In a patient-driven field such as aesthetic surgery, insight into the mind-set of potential patients is an invaluable tool to maximize success in the surgeon’s practice. Continued study is warranted. Editor’s Note Please see the Editorial in this month's issue of the Journal for an extended discussion of the differences between definitions of “plastic” surgery and “cosmetic” surgery in our specialty. Disclosures The authors declared no potential conflicts of interest with respect to the research, authorship, and publication of this article. Funding The authors received no financial support for the research, authorship, and publication of this article. References 1. American Society for Aesthetic Plastic Surgery (ASAPS). Statistical data, 2011. http://www.surgery.org/media/ statistics 2. Palmeri C. Economic trends. Business Week. December 3, 2001:28. 3. American Board of Plastic Surgery, Inc. 2011 newsletter. https://www.abplsurg.org/documents/Annual_Newsletter_2011.pdf 4. Kim DC, Kim S, Mitra A. Perceptions and misconceptions of the plastic and reconstructive surgeon. Ann Plast Surg. 1997;38(4):426-430. 5. Dunkin CS, Pleat JM, Jones SA, Goodacre TE. Perception and reality: a study of public and professional perceptions of plastic surgery. Br J Plast Surg. 2003;56(5):437-443. 6. Hamilton GS, Carrithers JS, Karnell LH. Public perceptions of the term “cosmetic,” “plastic,” and “reconstructive” surgery. Arch Facial Plast Surg. 2004;6(5):315-320. 7. Ellin A. Putting the best face on cosmetic surgeons. New York Times. April 10, 2008. 8. Krieger LM, Shaw WW. The financial environment of aesthetic surgery: results of a survey of plastic surgeons. Plast Reconstr Surg. 1999;104:2305-2311. 9. Constantin M. The media and plastic surgery: on being what you want to become. Plast Reconstr Surg. 2003;111:1348-1349. 10. Darisi T, Thorne S, Iacobelli C. Influences on decisionmaking for undergoing plastic surgery: a mental models, and quantitative assessment. Plast Reconstr Surg. 2005;116(3):907-916. 11. Walden JL, Panagopoulos G, Shrader SW. Contemporary decision making and perception in patients undergoing cosmetic breast augmentation. Aesthetic Surg J. 2010;30(3):395-403. 12. Waltzman JT, Scholz T, Evans G. What patients look for when choosing a plastic surgeon. Annals of Plastic Surgery. 2011;66(6):643-647. 13. Kurkjian TJ, Kerikel JM, Sykes JM, Duffy SC. Impact of the current economy on facial aesthetic surgery. Aesthetic Surg J. 2011;31(7):770-774. 14. Bureau of the Census. 2012 Statistical Abstract: Income, Expenditures, Poverty & Wealth. Washington, Effects of social media use on desire for cosmetic surgery among young women Candice E. Walker1 & Eva G. Krumhuber1 & Steven Dayan2 & Adrian Furnham3 # The Author(s) 2019 Abstract A large body of research has documented the influence of traditional media formats (e.g. television programs, adverts) on young women’s consideration of cosmetic surgery. However, less is known about how newer forms of media such as social networking sites impact desire for cosmetic surgery. The present study aimed to examine whether exposure to images depicting facial cosmetic enhancements increases the desire for cosmetic surgery among young women. One-hundred and eighteen women, aged 18–29 years, indicated their social media use. This was followed by a task in which they viewed either images of facial cosmetic enhancements (N = 59) or images of travel (N = 59). Participants then indicated their satisfaction with their appearance, their mood and desire to undergo cosmetic enhancement. The results showed that viewing images of females who have undergone cosmetic enhancements affected young women’s desire for cosmetic surgery, especially if they spent a significant amount of time on social media, followed many accounts, and were less satisfied with their appearance. These findings have implications for parents, clinicians, and policy makers for understanding how internet habits, particularly the use of social media, influence the desire for cosmetic surgery, including the psychosocial motivations underlying those intentions. Keywords Body image . Cosmetic surgery . Social media . Instagram . Between-subjects Introduction Physical appearance is an important aspect of personal identity and its relation to individuals’self-perception begins early in life (Davison and Birch 2001). Although perceptions of attractiveness are guided by innate preferences such as symmetry and small waist-to-hip ratio among women (Swami
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