From injections to body contouring, these procedures are not just about appearance. They intersect with identity, self-esteem, and psychological well-being in the most fascinating ways. I thought since so many of my clients, both male and female, are bringing this discussion into their sessions we would explore the scientific research behind these treatments, discuss the emotional impact, and talk about some of the common concerns.

SHOWNOTES

Hello and welcome to A Journey to Awareness, I’m Shauna Hoffman.

Today, we’re delving into a topic that’s increasingly common in modern life -aesthetic treatments and plastic surgery. From injections to body contouring, these procedures are not just about appearance. They intersect with identity, self-esteem, and psychological well-being in the most fascinating ways. I thought since so many of my clients, both male and female, are bringing this discussion into their sessions we would explore the scientific research behind these treatments, discuss the emotional impact, and talk about some of the common concerns.

Let’s dive in.

First, let’s talk about Body Image and Self-Perception.

We all live in a world where our appearance is constantly under a microscope. Let’s be clear, self-love is the ultimate goal, but there’s no shame in wanting to feel a little more confident in your own skin. For some people, aesthetic treatments give them that boost of confidence that ripples into other areas of life. It’s not always about fixing flaws – it can be about enhancing what you already love or softening something that causes you stress. And guess what? That’s okay!

We do look in the mirror and see flaws. It is just human spirit. I have always worked with my clients to help them try not to see them as flaws… you know the line.. its character! I always say, I have earned every wrinkle on my face. But sometimes something about your physical appearance is affecting you more than you realize. It is affecting your self-perception.

The newest research consistently shows that how we perceive our appearance plays a significant role in our mental health! We all know that when we like what we are wearing, or how fabulous our hair looks that day, or if we have just lost a few pounds, we carry ourselves differently, we greet people differently and we feel different about ourselves.

A study published in the journal Plastic and Reconstructive Surgery found that patients who underwent aesthetic treatments often reported improvements in self-esteem and even the quality of life. When people feel that their outward appearance aligns with their inner self-image, they often experience greater psychological comfort, and I love this…social confidence.

For instance, I had this one client, let’s call her, Jessie, who finally had the baby she had dreamed of. But then she struggled with her post-pregnancy body. After some really great sessions and a trip to her doctor we realized that she didn’t have clinical postpartum, which is often a hormonal imbalance, she had trouble seeing the beauty in herself with baby body. To the point that it was affecting her sex life and her marriage. Not to mention, when you have a low-level depression, your newborn can sense it. She decided after a lot of research on a breast lift and laser treatments.  Afterwards she felt so much happier and more importantly… empowered. Her decision wasn’t about vanity – it was about restoring a sense of ownership over her body. I love those words. Ownership over our bodies.

Similarly, a male client, James, found that wrinkle releaser injections, Botox, or my favorite, Dysport, reduced his anxiety about looking perpetually stressed. I get that. I had horrible debilitating headaches from the time I was a child. By the time I was 21 those damn 2 lines between my eyes were huge. My muscles were so strong from squinting in pain that the only thing that helped was Dysport.  Once I started these injections, I felt so different about myself. I could look in the mirror and not look like a 60-year-old anymore.

But it’s the scientific studies that back this up that I find fascinating. These neurotoxins can even alleviate symptoms of depression by interrupting the facial feedback loop linked to mood regulation. 

What the heck is that? The mind-body connection is real! The facial feedback loop suggests that our emotional experience is influenced by feedback from our facial muscles…meaning that mimicking or forcing a particular facial expression can affect our mood.  It’s no joke that when we feel low or down, if we force ourselves to turn up the sides of our lips into a smile that sends a message to our brain and our mood lightens. So…by releasing the stress muscles it may send messages to our brain that we are not stressed!

I want to make this clear.

If you’re struggling with body image concerns, you don’t have to go it alone. Working with a therapist can be a powerful way to unpack feelings about your appearance and make choices that align with your values. Whether you decide to embrace every wrinkle or explore aesthetic treatments, therapy provides a safe space to process, to reflect, and to build a deeper sense of self-compassion. Because at the end the only one to decide to move forward is YOU!

Now, let’s talk Emotional Well-Being and Self-Image a little more.

Feeling aligned with your external appearance can influence how you engage with the world. Studies from the American Psychological Association indicate that patients who undergo aesthetic treatments often experience a positive boost in self-confidence. However, research also highlights that individuals with pre-existing body dysmorphic disorder (BDD) may not experience the same positive effects and may continue to feel dissatisfied despite physical changes. So, what is that? BDD is a condition characterized by an excessive preoccupation with perceived flaws in one’s physical appearance. Individuals with BDD may believe that they have significant defects or deformities, even when these are not apparent to others.

This underscores the importance of psychological readiness. If you’re considering a procedure, reflect on your motivations!

Are you seeking to enhance an area of your body you already appreciate, or are you hoping a change will resolve deeper feelings of inadequacy? Speaking with a mental health professional can help you discern whether your motivations are grounded in self-care or external validation.

Now let’s talk about Negative Stigma and Social Perception.

Despite the increasing normalization of aesthetic treatments, there remains societal stigma surrounding those who pursue them. Research suggests that people who undergo cosmetic procedures often face judgment rooted in misconceptions about vanity or insecurity. Yet, the Journal of Aesthetic Surgery highlights that the majority of patients pursue these treatments to feel more like themselves – not to conform to external ideals.

If you feel pressured by a partner or peer to change your appearance, take a pause. External influence can cloud personal agency, and your body should remain within your control. Your decisions should reflect your values, not someone else’s expectations.

Another important consideration: Who May Not Be a Good Candidate?

Not everyone benefits psychologically from aesthetic treatments. Research shows that individuals with untreated mental health conditions – especially body dysmorphic disorder – may not get the anticipated emotional relief they were hoping for.  Additionally, those seeking procedures to resolve a major life crisis or relationship issue might find the results emotionally unfulfilling.

If you find yourself fixated on perceived flaws, experiencing emotional distress about your appearance, or seeking validation from others, these may be signs to consult a mental health professional before pursuing treatment. A thorough consultation with a reputable aesthetic provider along with a deep conversation with your therapist to determine your motivation for any procedure would be truly important.

To wrap up, here’s the takeaway: Aesthetic treatments can positively impact mental well-being when pursued for the right reasons. They offer benefits ranging from increased self-confidence to genuine medical relief. However, they are not a cure-all for deeper emotional struggles.  Thoughtful reflection is key.

If you’re considering any procedure, reflect on your motivations, engage in open dialogue with trusted professionals, and prioritize your mental health alongside physical changes. Your body, your choice – always.

Oh, beautiful listeners, I hope you got a lot to think about from this podcast. And if you know anyone who would benefit from hearing it please share.  I hope that you take loving care of yourself. I hope you see the beauty in yourself both inside and out. I hope you drink lots of water, eat nourishing foods, have lots of fun and surround yourself with loving beings. Thank you for letting me in your life this week and I look forward to popping back in again next time.