Li Yunduan, Chen Hong, Zou Yan, Guo Yanshuo, Gao Liying, Xu Xinyu
School of Psychology, Northwest Normal University, Lanzhou, People's Republic of China.
Key Laboratory of Behavioral and Mental Health of Gansu Province, School of Psychology, Northwest Normal University, Lanzhou, People's Republic of China.
PLoS One. 2025 Feb 6;20(2):e0318245. doi: 10.1371/journal.pone.0318245. eCollection 2025.
Although cosmetic surgery can repair functional impairments caused by deformities, improve appearance, and enhance self-esteem, it also carries certain risks, complications, and even death. To reduce the risks to life and property caused by repetitive or inappropriate procedures, it is important to identify the prerequisites that lead individuals to pursue cosmetic surgery. Some studies have shown a significant association between selfies and cosmetic surgery consideration, with prior research focusing on offline selfie behaviors rather than the relationship between online selfies (including posting and viewing selfies) and consideration of cosmetic surgery. From the perspective of online selfie behaviors, this study explores the relationship between online selfie behaviors and consideration of cosmetic surgery, as well as its internal mechanisms. The study included 762 teenage girls with an average age of 16.85 years who completed the Online Selfie Behavior, Appearance Comparison, Body Dissatisfaction, and Consideration of Cosmetic Surgery scales. Structural equation modeling (SEM) was used to examine the direct and indirect relationships between posting or viewing selfies and willingness to undergo cosmetic surgery. The results of the current study indicate that viewing selfies on social media, rather than posting them, is a key factor affecting consideration of cosmetic surgery, and this influence occurs directly or indirectly through appearance comparison and body dissatisfaction. This suggests that in the current era of frequent social media activities, a more relaxed social and cultural environment and diverse aesthetic standards are necessary. Parents and educational psychologists should focus on guiding girls to develop positive body image, carefully considering the impact of selfie images on body dissatisfaction in teenage girls on social media, and the resulting demand for beauty products and cosmetic surgery.
虽然整容手术可以修复畸形造成的功能障碍、改善容貌并增强自尊，但它也存在一定风险、并发症甚至死亡风险。为降低重复或不当手术带来的生命和财产风险，识别导致个人寻求整容手术的先决条件很重要。一些研究表明自拍与考虑整容手术之间存在显著关联，此前的研究侧重于线下自拍行为，而非线上自拍（包括发布和查看自拍）与整容手术考虑之间的关系。从线上自拍行为的角度出发，本研究探讨了线上自拍行为与整容手术考虑之间的关系及其内在机制。该研究纳入了762名平均年龄为16.85岁的少女，她们完成了线上自拍行为、外貌比较、身体不满和整容手术考虑量表。采用结构方程模型（SEM）来检验发布或查看自拍与接受整容手术意愿之间的直接和间接关系。当前研究结果表明，在社交媒体上查看自拍而非发布自拍是影响整容手术考虑的关键因素，且这种影响通过外貌比较和身体不满直接或间接发生。这表明在当前社交媒体活动频繁的时代，需要更宽松的社会文化环境和多样的审美标准。家长和教育心理学家应注重引导女孩树立积极的身体形象，认真考虑自拍图像对少女在社交媒体上身体不满的影响，以及由此产生的对美容产品和整容手术的需求。
