Sönmez, MehmetEşiyok, Elif2024-01-162024-01-162023-12http://hdl.handle.net/20.500.14411/19601432-5241https://doi.org/10.1007/s00266-023-03654-yPublished by Aesthetic Plastic Surgery; https://doi.org/10.1007/s00266-023-03654-y; Mehmet Sonmez, Department of Plastic, Reconstructive and Aesthetic Surgery, Yildirim Beyazit University, Ankara Sehir Hastanesi, Universiteler Mah. 1604. Cad. No:9, 06800, Cankaya, Ankara, Turkey; Elif Esiyok, Department of Public Relations and Advertising, Atilim University, Ankara, Turkey.Background The number of cosmetic procedures has increased in recent years. Social media use and its effects on plastic surgery decisions are among the most widely discussed topics. This study aimed to test a research model that explores the relationship between social media usage frequency, appearance-related social media pressure, and body mass index (BMI) on the body appreciation of patients undergoing cosmetic procedures, and to evaluate their clinical impacts. Methods In total, 136 participants were included in this study, which met and exceeded the sample size require ment. The questionnaire was designed by using reliable scales and demographic data. Partial least squares struc tural equation modeling was used to test the hypothesized research model. Results The mean age of the participants was 35 years, and 70% had normal BMI scores. Among them, 59.6% underwent invasive procedures and 40.4% underwent minimally invasive procedures. BMI negatively affected body appreciation (b = 0.199, p\0.05). Social media did not have a significant effect on appearance-related social media pressure (b = 0.001, p[0.05). Appearance-related social media pressure negatively affected body apprecia tion (b = - 0.280. p[0.05). Conclusion Social media is not only an information source but also creates pressure on appearance. Therefore, plastic surgeons should use social media and consider the psy chology of patients during their communication.enBody appreciation; Cosmetic procedure; Pressure; Social media; Body mass indexArticle