According to the American Society of Plastic Surgeons in the United States, 14.6 million cosmetic surgery procedures were performed in 2012. Cosmetic procedures range from skin rejuvenation to cleft palate repair. The most popular age range for cosmetic surgeries performed is 40 to 54 years old. Most of us are aware of how we will appear in the future. Our self-conscious feelings toward our body image affect us psychologically and psychosocially through our own body image, our sexual relationships, our esteem in social interactions, and our self-esteem. As we age, our body dissatisfaction increases and in order to increase our body image and esteem, we carry out cosmetic surgery procedures. The psychological or emotional state of a person who has undergone cosmetic surgery varies. The patient may feel better about his psychological appearance but experience no improvement or change in his psychological characteristics. These characteristics are self-esteem, confidence and satisfaction. According to Sarwer, Pertschuk, Wadden, and Whitaker (1998), most people undergoing cosmetic surgery appear to be psychologically healthy, but some are not, and therefore negative results may occur, causing problems for both the surgeon and the patient. Surgeons face the challenge of having to identify, prior to any surgical intervention, patients who may have a poor or unhealthy outcome in terms of psychological and psychosocial health. Problems that could possibly arise if the patient is not psychologically healthy are the demand for repeated interventions, social isolation, depression, self-harming behaviors and anger towards the surgeon and staff involved (Goin and Ann, 1991). The psychological results of different procedures vary. For example...... middle of article...... Edgerton MT, Jacobson WE, Meyer E. Surgical and psychiatric study of patients seeking plastic (cosmetic) surgery: ninety-eight patients consecutive with minimal deformation. Br J Plast Surg. 1960;13:136.Goin MK, Rees TD. A prospective study of patients' psychological reactions to rhinoplasty. Ann PlastSurg. 1991;27:210 Karen, Kay. (2010). Older adults hit by an 'epidemic' of body image and eating disorders. Marcus P. Psychological aspects of aesthetic rhinoplasty. Br J Plast Surg. 1984; 37: 313. Peacock, Louisa. (2013). The pursuit of beauty: what drives women to go under the knife? Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA. The psychology of cosmetic surgery: review and reconceptualization. Clin Psychol Rev. 1998; 18:1. Sarwer DB, Wadden TA, Pertschuk MJ, Whitaker LA. The psychology of cosmetic surgery: review and reconceptualization. Clin Psychol Rev. 1998;18:1.