A Systematic Review of Social Media's Dual Impact on Cosmetisurgery: From Empowerment to Vulnerability

Kong Weixu

doi:10.71411/jassp.2026.1081

Authors

Kong Weixu Tianjin University of Commerce Baode College Author

DOI:

https://doi.org/10.71411/jassp.2026.1081

Keywords:

Social Media, Cosmetic Surgery, Body Image, Beauty Standards, Psychological Impacts

Abstract

The emergence of scenic social media platforms like Instagram, and TikTok, has virtually changed how beauty standards speak and consume memory. Highly visual media cuts across curated content to trigger consideration of cosmetic surgery by altering body self-image, selfesteem, and latent components of social ideals. This systematic review examines how social media plays a twofold empowerment-deficiency gamut in the study of cosmetic surgery by analyzing psychological overall effects, demographic differences, and ethical issues. It provides a comprehensive understanding of how social media shapes and portrays itself as hyping trends in cosmetic surgery.

References

Zhou, M., Yu, Q., Chen, R. et al. Pathways from attention to beauty content on social media and peer appearance conversations to cosmetic surgery consideration. Curr Psychol 43, 35353–35363 (2024). https://doi.org/10.1007/s12144-024-07038-6

Truasheim, S., Bonell, S. Does Social Media Engagement Influence Men’s Consideration of Cosmetic Surgery?. J. technol. behav. sci. 9, 191–203 (2024). https://doi.org/10.1007/s41347-023-00317-2

Yao, L. S., Niu, G. F., & Sun, X. J. (2024). A longitudinal study on the relationships between social media ideals exposure and thin-ideal internalization, social appearance anxiety, and cosmetic surgery consideration. Body image, 51, 101813. https://doi.org/10.1016/j.bodyim.2024.101813

Wang, Y., Qiao, X., Yang, J., Geng, J., & Fu, L. (2022). “I wanna look like the person in that picture”: Linking selfies on social media to cosmetic surgery consideration based on the tripartite influence model. Scandinavian Journal of Psychology, 64(2), 252–261. https://doi.org/10.1111/sjop.12882

Cai, L., Lam, K. H., Leong, H. H., & Jackson, T. (2020). Initial development and validation of the Online Appearance-Relevant Peer Conversations Scale. Body image, 33, 115–128. https://doi.org/10.1016/j.bodyim.2020.02.012

Mironica, A., Popescu, C. A., George, D., Tegzeșiu, A. M., & Gherman, C. D. (2024). Social media influence on body image and cosmetic surgery considerations: a systematic review. Cureus, 16(7), e65626.

Seekis, V., & Barker, G. (2022). Does# beauty have a dark side? Testing mediating pathways between engagement with beauty content on social media and cosmetic surgery consideration. Body Image, 42, 268-275.

Elbishbishy, N. A. M. (2022). The symbolic consumption of cosmetic surgery: exploring the sociocultural context and the dynamics of self-concept (Doctoral dissertation, Universidade do Minho (Portugal)).

Demir, Y., Dağ, E., Karakuş, P., & Kılınç, Z. A. (2024). The effect of desire to be liked and social appearance anxiety on aesthetic surgery acceptance in female nurses. BMC nursing, 23(1), 460.

Kanen, R. (2021). The Relationship of Instagram Use, Body Dissatisfaction, Social Comparison Orientation, and Consideration of Cosmetic Procedures (Doctoral dissertation, William James College).

Rahman, E., Webb, W. R., Rao, P., Yu, N., Garcia, P. E., Ioannidis, S., ... & Mosahebi, A. (2024). A Systematic Review on the Reinforcement Loop in Aesthetic Medicine and Surgery: The Interplay of Social Media, Self-Perception, and Repeat Procedures. Aesthetic Plastic Surgery, 1-13.

Bradley, E. (2017). Desire for cosmetic procedures: an investigation of associated factors (Doctoral dissertation, University of Essex).

Alghamdi, H. Y., Alrashed, A. M., Alzahrani, S. M., & Alzahrani, K. M. (2023). The impact of social media and other internet sources on cosmetic interventions among females in Saudi Arabia: a cross-sectional observational study. European Journal of Plastic Surgery, 46(6), 1397-1407.

Conboy, L., & Mingoia, J. (2024). Social networking site use, self-compassion, and attitudes towards cosmetic surgery in young Australian women. Journal of Technology in Behavioral Science, 9(2), 284-293.

Chandra, A., Agis, A. S., & Sutanto, G. Predictors of Non-Surgical Cosmetic Procedure Consideration among Indonesians.

Lăzărescu, G. M., & Vintilă, M. (2023). Attitudes towards Cosmetic Surgeries, Likelihood of Having Cosmetic Surgery and Favourite Sources of Information for Young Adults. Social Work Review/Revista de Asistenta Sociala, (1).

Tao, Y., Chen, Y., Zhang, D., Yan, Y., Pan, Z., Zheng, P., & Lyu, Z. (2024). To Post or not to Post? That is the Question. Relationship between Selfie Behavior and Cosmetic Surgery Attitude among Chinese Young Adult Women: Mediation of Negative Physical Self. Aesthetic Plastic Surgery, 1-9.

Lyu, Z., Wang, Y., Chen, C., & Zheng, P. (2023). Selfie behavior and cosmetic surgery consideration in adolescents: the mediating roles of physical appearance comparisons and facial appearance concern. Psychology, Health & Medicine, 28(8), 2273-2285.

Beneat, A., Joutovsky, B., Moon, V., Kasabian, A., & Oropallo, A. (2024). The use of social media in plastic surgery biomedical research: scoping systematic review. Exploration of Digital Health Technologies, 2(6), 313-333.

Zhang, Y., Jiang, M., Liu, J., & Liu, B. (2024). Pursuing beauty: socio-cultural and labor-economic determinants of cosmetic surgery consideration among female college students in China. BMC psychology, 12(1), 519.

Kim, S. (2022). What factors encourage the acceptance of cosmetic surgery? Differences in sociopsychological influences contingent upon cosmetic surgery experience. Fashion and Textiles, 9(1), 42.

Chua, S. N., Craddock, N., Rodtanaporn, W., Or, F., & Austin, S. B. (2023). Social media, traditional media, and other body image influences and disordered eating and cosmetic procedures in Malaysia, Singapore, Thailand, and Hong Kong. Body image, 45, 265-272.

Vintila, M., & Lazarescu, G. M. (2022). Cosmetic Surgery. A Right to Health or a Luxury?. Drepturile Omului, 17.

Wu, Y., Mulkens, S., Atkinson, M. J., & Alleva, J. M. (2024). A brief online cognitive dissonance-based intervention to reduce consideration of cosmetic surgery and improve body image among Chinese women. Psychology of Women Quarterly, 48(1), 80-92.

Watson, R. (2022). Appearance-focused social media use, unrealistic beauty ideals, and body image dissatisfaction. Journal of Research in Gender Studies, 12(1), 114-129.

Xiao, L., Ren, Y., & Li, B. (2024). Selfie-loving mothers and children in China: The relationship between the selfie-related behaviors of mothers and adolescents’ cosmetic surgery consideration. Journal of Health Psychology, 13591053241273663.

Tylka, T. L., Rodgers, R. F., Calogero, R. M., Thompson, J. K., & Harriger, J. A. (2023). Integrating social media variables as predictors, mediators, and moderators within body image frameworks: Potential mechanisms of action to consider in future research. Body Image, 44, 197-221.

Lang, M., & Ye, Y. (2024). Beauty ideals and body positivity: a qualitative investigation of young women’s perspectives on social media content in China. Frontiers in Psychology, 15, 1389935.

Burén, J., & Lunde, C. (2016). Adolescent girls’ cosmetic surgery consideration, parental appearance pressure, and materialism. In The 13th Nordic Youth Research Symposium https://www. researchgate. net.

Cheng, C. H. E. N., Yufei, H. U. A. N. G., Pan, S. H. I., & Xiaojuan, F. A. N. G. (2022). The Impact of Online Appearance-related Peer Conversation on Female College Students' Cosmetic Surgery Consideration: The Serial Mediation of Self-objectification and Facial Dissatisfaction. Journal of Southwest University Natural Science Edition, 44(2), 169-177.

Choukas-Bradley, S., Roberts, S. R., Maheux, A. J., & Nesi, J. (2022). The perfect storm: A developmental–sociocultural framework for the role of social media in adolescent girls’ body image concerns and mental health. Clinical child and family psychology review, 25(4), 681-701.

Mancin, P., Cerea, S., Bottesi, G., & Ghisi, M. (2024). Instagram use and negative and positive body image: the relationship with following accounts and content and filter use among female students. Current Psychology, 43(12), 10669-10681.

Aparicio-Martinez, P., Perea-Moreno, A. J., Martinez-Jimenez, M. P., Redel-Macías, M. D., Pagliari, C., & Vaquero-Abellan, M. (2019). Social media, thin-ideal, body dissatisfaction and disordered eating attitudes: An exploratory analysis. International journal of environmental research and public health, 16(21), 4177.

Dharejo, N., Alivi, M. A., Rahamad, M. S., Jiaqing, X., & Brony, M. (2023). Effects of Social Media Use on Adolescent Psychological Well-Being: A Systematic Literature Review. International Journal of Interactive Mobile Technologies, 17(20).

Brony, M., Alivi, M. A., Syed, M. A. M., & Dharejo, N. (2024). A Systematic Review on Social Media Health Communications and Behavioural Development among Indians in the COVID-19 Context. Studies in Media and Communication, 12(2), 37-49.

Jiaqing, X., Alivi, M. A., Mustafa, S. E., & Dharejo, N. (2023). The Impact of Social Media on Women's Body Image Perception: A Meta-Analysis of Well-being Outcomes. International Journal of Interactive Mobile Technologies, 17(20).

Brony, M., Alivi, M. A., Syed, M. A. M., Dharejo, N., & Jiaqing, X. (2024). A systematic review on social media utilization by health communicators in India: Insights from COVID-19 pandemic. Online Journal of Communication and Media Technologies, 14(4), e202449. https://doi.org/10.30935/ojcmt/15007

Harris, S. M. (2022). Cosmetic Surgery and Body Image in Race/Ethnic Minorities. Women's Health Research, 4(2), Women-s.

Caddel, M. J. (2018). The effects of social media on body image constructs among active women (Doctoral dissertation, California Southern University).

Heslin, K. (2023). The Effect of Religiosity, Social Media, and Parental Modeling on Disordered Eating Behaviors and Cognitions.