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Changes in the Indices of Body Image Concern, Sexual Self-Esteem and Sexual Body Image in Females Undergoing Cosmetic Rhinoplasty: A Single-Group Trial

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Abstract

Introduction

Psychological factors play a major role in the tendency toward cosmetic surgery. Variety seeking, making changes in one’s face and reducing apparent dissatisfaction, improving body image and increasing sexual self-esteem can be considered as some psychological aspects of cosmetic surgery. The present study was conducted with the aim of evaluating the changes in the indices of body image concern, sexual self-esteem and sexual body image in patients undergoing rhinoplasty.

Method

This study was a single-group pretest–posttest quasi-experimental design. The research data were collected from March 2015 to January 2016. For this purpose, of the patients seeking nose surgery who referred to beauty centers in Mashhad, 40 subjects were selected through purposive method sampling and completed a Body Image Concern Inventory, Sexual Self-Esteem Index for Women and Body Exposure during Sexual Activities Questionnaire before and after rhinoplasty. These data were collected after obtaining informed consent, conducting a structured clinical interview and completing the demographic checklist.

Findings

Data analysis demonstrated that there is a significant improvement in the index of female body image concern after rhinoplasty (p < 0.05). In the indices of sexual self-esteem and sexual body image, the analyses showed no significant difference between the pretest and posttest scores (p > 0.05).

Conclusion

Cosmetic surgery leads to the reduced body image concern of women but has no effect on sexual self-esteem and sexual body image. It seems that the psychological function of patients does not change significantly by rhinoplasty dimensions.

Level of Evidence III

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References

  1. Trzesniewski K, Donnellan B, Moffitt T, Robins R, Poulton R, Caspi A (2006) Low self-esteem during adolescence predicts poor health, criminal behavior, and limited economic prospects during adulthood. Dev Psychol 42:381–390

    Article  PubMed  Google Scholar 

  2. Brown MZ, Linehan MM, Comtois KA, Murray A, Chapman AL (2009) Shame as a prospective predictor of self-inflicted injury in borderline personality disorder: a multi-modal analysis. Behav Res Ther 47:815–822. https://doi.org/10.1016/j.brat.2009.06.008

    Article  PubMed  PubMed Central  Google Scholar 

  3. Brandberg Y, Sandelin K, Erikson S, Jurell G, Liljegren A, Arver B (2008) Psychological reactions, quality of life, and body image after bilateral prophylactic mastectomy in women at high risk for breast cancer: a prospective 1-year follow-up study. J Clin Oncol 26(24):3943–3949

    Article  PubMed  Google Scholar 

  4. Breuning E, Oikonomou D, Singh P et al (2010) Cosmetic surgery in the NHS: applying local and national guidelines. J Plast Reconstr Aesthet Surg 63:1437–1442

    Article  PubMed  Google Scholar 

  5. Rahimi AR, Dalband M, Shamsaei F (2013) Investigating the frequency of body dysmorphic disorder and its associated mental disorders in volunteers for cosmetic surgeries. J Psychiatr Nurs 1(2):70–78

    Google Scholar 

  6. Hargreaves DA, Tiggemann M (2004) Idealized media images and adolescent body image: comparing boys and girls. Body Image 1(4):351–361

    Article  PubMed  Google Scholar 

  7. Loupe D, Creech R (2014) Female teens attest to fading confidence. Women’s eNEws. Retrieved from http://womensenews.org/2014/04/female-teens-attest-fadingconfidence

  8. Cash TF, Brown TA (1987) Body image in anorexia nervosa and bulimia nervosa: a review of the literature. Behav Modif 11(4):487–521

    Article  CAS  PubMed  Google Scholar 

  9. Fisher S (1965) The body image as a source of selective cognitive sets. J Pers 33(4):536–552. https://doi.org/10.1111/j.1467-6494.1965.tb01401.x

    Article  CAS  PubMed  Google Scholar 

  10. Visser BA, Pozzebon JA, Bogaert AF, Ashton MC (2010) Psychopathy, sexual behavior, and esteem: it’s different for girls. Personal Individ Differ 48:833–838. https://doi.org/10.1016/j.paid.2010.02.008

    Article  Google Scholar 

  11. Baumeister RF, Bushman BJ (2003) Emotions and aggressiveness. In: Heitmeyer W, Hagan J (eds) International handbook of violence research. Kluwer, Dordrecht, pp 479–493

    Chapter  Google Scholar 

  12. Kilbourne, J (producer), & Jhally, S (director) (2010) Killing us softly 4: Advertising’s image of women [motion picture]. Available from Media Education Foundation, 60 Masonic St., Northampton, MA 01060

  13. He W, Zheng Q, Ji Y, Shen C, Zhu Q, Wang W (2017) Development of a body image concern scale using both exploratory and confirmatory factor analyses in Chinese university students. Neuropsychiatr Dis Treat 13:1419

    Article  PubMed  PubMed Central  Google Scholar 

  14. Van de Grift TC, Elaut E, Cerwenka SC, Cohen-Kettenis PT, Kreukels BP (2017) Surgical satisfaction, quality of life and their association after gender affirming surgery: a follow-up study. Journal of Sex and Marital Therapy, (just-accepted), 00-00

  15. Fingeret MC, Nipomnick SW, Crosby MA, Reece GP (2013) Developing a theoretical framework to illustrate associations among patient satisfaction, body image and quality of life for women undergoing breast reconstruction. Cancer Treat Rev 39(6):673–681

    Article  PubMed  PubMed Central  Google Scholar 

  16. First MB, Spitzer RL, Gibbon M, Williams JB (1996) Structured clinical interview for DSM-IV.American Psychiatric Association, Washington. DC

  17. Sharifi V, Assadi SM, Mohammadi MR, Amini H, Kaviani H, Semnani Y, Seddigh A (2009) A Persian translation of the structured clinical interview for diagnostic and statistical manual of mental disorders: psychometric properties. Compr Psychiatry 50(1):86–91

    Article  PubMed  Google Scholar 

  18. Littleton HL, Axsom D, Pury CL (2005) Development of the body image concern inventory. Behav Res Ther 43:229–241

    Article  PubMed  Google Scholar 

  19. Entezari S, Alavizadeh SMR (2012) The relationship between body dysmorphophobia and suicidal ideation among men and women referring to skin, hair and weight clinics in Tehran. Jundishapur Scientific Medical Journal (in print)

  20. Littleton H, Breitkopf CR (2008) The body image concern inventory: validation in a multi ethnic sample and initial development of a Spanish language version. Body Image 5(4):381–388

    Article  PubMed  PubMed Central  Google Scholar 

  21. Basaknejad S, Ghafari M (2008) The relationship between fear of physical deformity and psychological disorders in students]. J Behav Sci 1(2):17–18 (Persian)

    Google Scholar 

  22. Zeanah PD, Schwarz JC (1996) Reliability and validity of the sexual self-esteem inventory-women. Assessment 3(1):1–15

    Article  Google Scholar 

  23. Farokhi S, Shareh H (2014) Psychometric properties of the Persian version of the sexual self-esteem index for women-short form. Iran J Psychiatry Clin Psychol 20(3):252–263

    Google Scholar 

  24. Sarwer DB, Pruzinksy T, Cash TF, Goldwyn RM, Persing JA, Whitaker LA (eds) (2006) Psychological aspects of reconstructive and cosmetic plastic surgery: clinical, empirical, and ethical perspective. Lippincott, Williams & Wilkins Publishers: Philadelphia

  25. Cash TF, Maikkula CL, Yamamiya Y (2004) Baring the body in the bedroom: body image, sexual self-schemas, and sexual functioning among College Women and Men. Electron J Hum Sex, http://www.ejhs.org/volume7/bodyimage.html

  26. La Rocque CL, Cioe J (2011) An evaluation of the relationship between body image and sexual avoidance. J Sex Res 48:397–408. https://doi.org/10.1080/00224499.2010.499522

    Article  PubMed  Google Scholar 

  27. Yamamiya Y, Cash TF, Thompson JK (2006) Sexual experiences among college women: the differential effects of general versus contextual body images on sexuality. Sex Roles 55:421–427. https://doi.org/10.1007/s11199-006-9096-x

    Article  Google Scholar 

  28. Slevec J, Tiggemann M (2010) Attitudes toward cosmetic surgery in middle-aged women: body image, aging anxiety, and the media. Psychol Women 34:65–74

    Article  Google Scholar 

  29. Dehsorkhi R, Mousavi SF (2015) The study of some correlative of sexual satisfaction in married women of Esfahan city. Rouyesh Ravanshenasi 4(11):137–152

    Google Scholar 

  30. Gallivan HR (2014) Teens, social media and body Image. Retrieved from http://www.macmh.org/wp-content/uploads/2014/05/18_Gallivan_Teens-social-media-body-image-presentation-H-Gallivan-Spring-2014. pdf

  31. Juhl AA, Damsgaard TE, O’connor M, Christensen S, Zachariae R (2017) Personality traits as predictors of quality of life and body image after breast reconstruction. Plast Reconstr Surg Glob Open 5(5)

  32. Sarcu D, Adamson P, Goin JM, Goin MK, Karimi K, Adamson P, Slaughter R (2017) Psychology of the facelift patient. Facial Plast Surg 33(03):252–259

    Article  CAS  PubMed  Google Scholar 

  33. Felix et al (2014) Patients with mild to moderate body dysmorphic disorder may benefit from rhinoplasty. J Plast Reconstr Aesthet Surg 67(5):646–654

    Article  PubMed  Google Scholar 

  34. Grammas DL, Schwartz JP (2009) Internalization of messages from society and perfectionism as predictors of male body image. Body Image 6:31–36

    Article  PubMed  Google Scholar 

  35. Ghazizadeh Hashemi SA, Edalatnoor B, Edalatnoor B, Niksun O (2017) Investigating the level of body image concern among the applicants for rhinoplasty before and after surgery. Int J Pediatr 5(9):5789–5796. https://doi.org/10.22038/ijp.2017.25353.2153

    Article  Google Scholar 

  36. Bani Asadi H (2012) Effects of rhinoplasty on women’s body image. J Diabetes Complicat 3(4):194–201

    Google Scholar 

  37. Pasha GhR, Naderi F, Akbari Sh (2008) Comparison of body image, body mass index, general health and self-concept between people who have undergone cosmetic surgeries, those requesting cosmetic surgeries and ordinary people in Behbahan County. New Find Psychol 2(7):61–80

    Google Scholar 

  38. Klassen A, Jenkinson C, Fitzpatrick R, Goodacre T (1996) Patients’ health related quality of life before and after aesthetic surgery. Br J Plast Surg 49(7):433–438

    Article  CAS  PubMed  Google Scholar 

  39. Honigman RJ, Jackson AC, Dowling NA (2011) The reface: a pre-operative psychosocial screen for elective facial cosmetic surgery and cosmetic dentistry patients. Ann Plast Surg 66(1):16–23

    Article  CAS  PubMed  Google Scholar 

  40. Von Soest T, Kvalem IL, Roald HE, Skolleborg KC (2009) The effects of cosmetic surgery on body image, self-esteem, and psychological problems. J Plast Reconstr Aesthet Surg 62(10):1238–1244

    Article  Google Scholar 

  41. Roosenboom et al (2014) Secondary cleft rhinoplasty: Impact on self-esteem and quality of life. J Plast Reconstr Aesthet Surg 134(6):1285–1292

    Article  CAS  Google Scholar 

  42. Wähmann MS, Bulut OC, Bran GM, Veit JA, Riedel F (2018) Systematic review of quality-of-life measurement after aesthetic rhinoplasty [e-pubahead of print]. Aesthetic Plast Surg. https://doi.org/10.1007/s00266-018-1199-6. Accessed July 17 2018

  43. Mousavi SJ, Aramideh JA, Fattahi SS et al (2018) Quality of life before and after rhinoplasty surgery measured with SF-36, RSES, and WHOQOL-BREF. Eur J Plast Surg 41:535. https://doi.org/10.1007/s00238-018-1392-5

    Article  Google Scholar 

  44. Spiekermann C, Beule AG, Rudack C, Stenner M, Savvas E (2018) Influence of the subjective body image on the outcome of functional rhinoplasty. Aesthet Plast Surg. https://doi.org/10.1007/s00266-018-1239-2

    Article  Google Scholar 

  45. Yang F, Liu Y, Xiao H, Li Y, Cun H, Zhao Y (2018) Evaluation of preoperative and postoperative patient satisfaction and quality of life in patients undergoing rhinoplasty. Plast Reconstr Surg 141(3):603–611. https://doi.org/10.1097/prs.0000000000004102

    Article  CAS  PubMed  Google Scholar 

  46. Cingi C, Songu M, Bal C (2011) Outcomes research in rhinoplasty: body image and quality of life. Am J Rhinol Allergy 25(4):263–267. https://doi.org/10.2500/ajra.2011.25.3649

    Article  PubMed  Google Scholar 

  47. Mattei V, Pagani Bagliacca E, Ambrosi A, Lanfranchi L, Preis F, Sarno L (2015) The impact of cosmetic plastic surgery on body image and psychological well-being: a preliminary study. Int J Psychol Behav Anal. https://doi.org/10.15344/2455-3867/2015/103

    Article  Google Scholar 

  48. Jeremy Goh CG, Stephen L (2015) Prevalence of body dysmorphic disorder and impact on subjective outcome amongst Singaporean rhinoplasty patients. Anaplastology 4:140

    Google Scholar 

  49. Dowling NA, Honigman RJ, Jackson AC (2010) The male cosmetic surgery patient: a matched sample gender analysis of elective cosmetic surgery and cosmetic dentistry patients (abstract). Ann Plast Surg 64(6):726–731

    Article  CAS  PubMed  Google Scholar 

  50. Cook SA, Rosser R, Salmon P (2006) Is cosmetic surgery an effective psychotherapeutic intervention?: A systematic review of the evidence. J Plast Reconstr Aesthet Surg 59(11):1133–1151

    Article  PubMed  Google Scholar 

  51. Edgerton MT, Jacobson WE, Meyer E (1960) Surgical-psychiatric study of patients seeking plastic (cosmetic) surgery. Br J Plast Surg 13:136

    Article  CAS  PubMed  Google Scholar 

  52. Bellino S, Izza M, Paradiso E, Rivarossa A, Fulcheri M, Bogetto F (2006) Dysmorphic concern symptoms and personality disorders: a clinical investigation in patients seeking cosmetic surgery. Psychiatry Res 144(1):73–78

    Article  PubMed  Google Scholar 

  53. Akbari Sh (2009) Comparison of body image between people requesting cosmetic surgery and ordinary people in Behbahan County (Master’s thesis of General Psychology), Islamic Azad University of Ahvaz

  54. Hannier S, Baltus A, De Sutter P (2017) The role of physical satisfaction in women’s sexual self-esteem. https://doi.org/10.1016/j.sexologies.2017.09.011

  55. de Brito MJ, Nahas FX, Barbosa MV, Dini GM, Kimura AK et al (2010) Abdominoplasty and its effect on body image, self-esteem, and mental health. Ann Plast Surg 65:5–10

    Article  PubMed  Google Scholar 

  56. Herruer JM, Prins JB, van Heerbeek N, Verhage-Damen G, Ingels K (2018) Does self-consciousness of appearance influence postoperative satisfaction in rhinoplasty? J Plast Reconstr Aesthet Surg 71:79–84

    Article  CAS  PubMed  Google Scholar 

  57. Sheen M et al (2018) Investigating the effect of wearing the hijab: perception of facial attractiveness by Emirati Muslim women living in their native Muslim country. PLoS ONE 13(10):e0199537. https://doi.org/10.1371/journal.pone.0199537

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Rastmanesh et al (2009) Comparison of body dissatisfaction and cosmetic rhinoplasty with levels of veil practicing in Islamic women. Int J Eat Disord 42(4):339–345. https://doi.org/10.1002/eat.20613

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgement

The authors deem it necessary to express their appreciation to all the people who participated in this study and helped researchers to facilitate the research process.

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Correspondence to Hanieh Najjaran Toussi.

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Najjaran Toussi, H., Shareh, H. Changes in the Indices of Body Image Concern, Sexual Self-Esteem and Sexual Body Image in Females Undergoing Cosmetic Rhinoplasty: A Single-Group Trial. Aesth Plast Surg 43, 771–779 (2019). https://doi.org/10.1007/s00266-019-01336-2

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