Date Published: October 25, 2018
Publisher: Springer US
Author(s): Yun Am Seo, Hyang-In Cho Chung, Young A Kim.
This study aimed to investigate the relationship between acceptance of cosmetic surgery (ACS) and cosmetic procedure experience in women in their 20s.
We collected 330 randomly sampled women in their 20s in November 2017. The collected data were analyzed by descriptive statistics, t test, crosstabs, Chi-square test, ANOVA, Pearson’s correlation, and binary logistic regression.
Almost all (97.9%) of the subjects had heard about the side effects of cosmetic surgery, and “Internet” was the most common source of information (57.3%). The number of subjects who had already undergone more than 1 cosmetic procedure was 124 women (37.6%), and the first age of cosmetic procedure was 21.81 (± 2.83) years old. ACS had a negative correlation with appearance satisfaction (r = − 0.18, p = 0.001). There was positive correlation between appearance satisfaction and self-esteem (r = 0.62, p < 0.001) and negative correlation between appearance satisfaction and body mass index (BMI) (r = − 0.28, p < 0.001). The higher the age of 1 year, the greater the probability of experience of cosmetic procedure (1.17 times) (OR 1.17, p = 0.002), and the higher the ACS score, the greater the probability of cosmetic procedure being 1.06 times (OR 1.06, p < 0.001). The higher the BMI score, the lower the probability of experiencing cosmetic procedure by 0.84 times (OR 0.84, p < 0.001). Age, ACS and BMI were the factors influencing the cosmetic procedure experience, and the cosmetic procedure experience led to more cosmetic procedures. Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees.
Standards of appearance vary according to age and country, but considering survey results  in which more than 65% of participants were willing to have surgical and non-surgical cosmetic procedures in relation to employment and marriage, it is clear that the self-image of an individual, which is evaluated to a significant extent through appearance, also affects perceptions of social roles in the world. Further, in the same survey, the portion of respondents who answered that appearance was reasonably important in life continuously increased from 45% in 1994, to 58% in 2004 and to 61% in 2014, indicating a growing proportion of Koreans for whom body image was important for living in the twenty-first century. This rising trend has become more widespread with the development of the Internet and mass media, and the role of appearance as a means for social enhancement has become more entrenched. In particular, Korea already has the highest global rate of cosmetic procedures relative to its population [2, 3]. This involves the younger generation in their 20s, particularly women, as women’s desire to be more beautiful goes beyond hair styles and fashion, increasing the likelihood of a more aggressive appearance change, that is, an acceptance of and willingness to have cosmetic procedures [4–6].
This study investigated the experience of cosmetic procedures, perception of side effects, levels of acceptance, and the factors influencing the experience of cosmetic procedures among Korean women in their 20s.
This study aimed to provide relevant baseline data for measures and policies to improve the body image and the self-esteem of young women living in modern society, through comparing the cosmetic procedure experience and the cosmetic procedure characteristics of Korean women in their 20s, and understanding better what was involved. The results of our survey conducted using random sampling of 330 women in their 20s showed that appearance satisfaction had a negative correlation with ACS and BMI, a positive correlation with self-esteem, and that age, ACS, and BMI affect the cosmetic procedure experience. The limitation of this study was that it did not investigate perceptions of cosmetic procedure side effects in more detail.