Non-surgical aesthetic procedures and eating behavior: A review of motivational and dietary changes associated with body image

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DOI:

https://doi.org/10.32870/jbf.v5i10.112

Keywords:

eating behavior, non-surgical aesthetic procedures, body image, body dysmorphic disorder, intuitive eating

Abstract

Non-surgical aesthetic procedures have expanded steadily and raise important questions about their links to eating behavior. This narrative review synthesizes evidence from PubMed, Scopus, and Web of Science (2014–2025) to examine how post-procedure body-image changes relate to dietary motivation, eating styles, and risk of eating psychopathology. Direct empirical data on dietary modifications after treatment are limited, partly because body-contouring trials neutralize diet to isolate device effects and facial studies prioritize patient-reported outcomes such as quality of life and body image. Nevertheless, converging findings indicate that body dissatisfaction and intensive social-media exposure are associated with greater eating dysregulation, whereas body-image flexibility and intuitive eating relate to better well-being and fewer risky behaviors. We propose two plausible trajectories after treatment: sustainable nutritional adjustments among individuals who consolidate a more positive body image, and restrictive or compensatory patterns among those with persistent body dissatisfaction or dysmorphic traits. Clinically, brief validated screening for eating disorders and body dysmorphic disorder, together with peri-procedural nutritional assessment and counseling, is advisable. Research gaps and an agenda are outlined, prioritizing pre–post cohorts with follow-up, standardized dietary outcomes, and measurement of sociocultural context to estimate the magnitude and direction of change more precisely.

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References

American Society of Plastic Surgeons. (2023). Plastic Surgery Statistics Report. Plasticsurgery.org. https://www.plasticsurgery.org/documents/news/statistics/2023/plastic-surgery-statistics-report-2023.pdf

Ascher, B., Rzany, B., Kestemont, P., Hilton, S., Heckmann, M., Bodokh, I., Noah, E. M., Boineau, D., Kerscher, M., Volteau, M., Le Berre, P., & Picaut, P. (2020). Significantly increased patient satisfaction following liquid formulation AbobotulinumtoxinA treatment in glabellar lines: FACE-Q outcomes from a Phase 3 clinical trial. Aesthetic Surgery Journal, 40(9), 1000–1008. https://doi.org/10.1093/asj/sjz248

Baethge, C., Goldbeck-Wood, S., & Mertens, S. (2019). SANRA-a scale for the quality assessment of narrative review articles. Research Integrity and Peer Review, 4(1), 5. https://doi.org/10.1186/s41073-019-0064-8

Barone, M., De Bernardis, R., Salzillo, R., & Persichetti, P. (2024). Eating disorders and aesthetic plastic surgery: A systematic review of the literature. Aesthetic Plastic Surgery, 48(15), 2861–2871. https://doi.org/10.1007/s00266-024-04020-2

Braun, T. D., Unick, J. L., Abrantes, A. M., Dalrymple, K., Conboy, L. A., Schifano, E., Park, C. L., & Lazar, S. W. (2022). Intuitive eating buffers the link between internalized weight stigma and body mass index in stressed adults. Appetite, 169, 105810. https://doi.org/10.1016/j.appet.2021.105810

Christoph, M. J., Hazzard, V. M., Järvelä-Reijonen, E., Hooper, L., Larson, N., & Neumark-Sztainer, D. (2021). Intuitive eating is associated with higher fruit and vegetable intake among adults. Journal of Nutrition Education and Behavior, 53(3), 240–245. https://doi.org/10.1016/j.jneb.2020.11.015

Czernecka, A., Baran, W., Szepietowski, J., & Batycka-Baran, A. (2023). Body Dysmorphic Disorder Questionnaire-Dermatology Version (BDD-DV): formation and validation of the Polish language version. Postepy Dermatologii i Alergologii, 40(3), 421–426. https://doi.org/10.5114/ada.2023.128974

Downes, M. J., Brennan, M. L., Williams, H. C., & Dean, R. S. (2016). Development of a critical appraisal tool to assess the quality of cross-sectional studies (AXIS). BMJ Open, 6(12), e011458. https://doi.org/10.1136/bmjopen-2016-011458

Eck, K. M., Quick, V., & Byrd-Bredbenner, C. (2022). Body dissatisfaction, eating styles, weight-related behaviors, and health among young women in the United States. Nutrients, 14(18), 3876. https://doi.org/10.3390/nu14183876

Hazzard, V. M., Telke, S. E., Simone, M., Anderson, L. M., Larson, N. I., & Neumark-Sztainer, D. (2021). Intuitive eating longitudinally predicts better psychological health and lower use of disordered eating behaviors: findings from EAT 2010-2018. Eating and Weight Disorders: EWD, 26(1), 287–294. https://doi.org/10.1007/s40519-020-00852-4

Ingargiola, M. J., Motakef, S., Chung, M. T., Vasconez, H. C., & Sasaki, G. H. (2015). Cryolipolysis for fat reduction and body contouring: safety and efficacy of current treatment paradigms. Plastic and Reconstructive Surgery, 135(6), 1581– 1590. https://doi.org/10.1097/PRS.0000000000001236

International Society of Aesthetic Plastic Surgery. (2023). International Survey on Aesthetic/Cosmetic Procedures Performed in 2023. Isaps.org. https://www.isaps.org/media/rxnfqibn/isaps-global-survey_2023.pdf

Jennings, K. M., & Phillips, K. E. (2017). Eating disorder examination- questionnaire (EDE-Q): Norms for clinical sample of female adolescents with anorexia nervosa. Archives of Psychiatric Nursing, 31(6), 578–581. https://doi.org/10.1016/j.apnu.2017.08.002

Jerónimo, F., & Carraça, E. V. (2022). Effects of fitspiration content on body image: a systematic review. Eating and Weight Disorders: EWD, 27(8), 3017–3035. https://doi.org/10.1007/s40519-022-01505-4

Jiotsa, B., Naccache, B., Duval, M., Rocher, B., & Grall-Bronnec, M. (2021). Social media use and body image disorders: Association between frequency of comparing one’s own physical appearance to that of people being followed on social media and Body Dissatisfaction and drive for thinness. International Journal of Environmental Research and Public Health, 18(6), 2880. https://doi.org/10.3390/ijerph18062880

Kaleeny, J. D., & Janis, J. E. (2024). Body dysmorphic disorder in aesthetic and reconstructive plastic surgery-A systematic review and meta-analysis. Healthcare, 12(13), 1333. https://doi.org/10.3390/healthcare12131333

Kilmer, S. L., Burns, A. J., & Zelickson, B. D. (2016). Safety and efficacy of cryolipolysis for non-invasive reduction of submental fat: safety and efficacy of submental cryolipolysis. Lasers in Surgery and Medicine, 48(1), 3–13. https://doi.org/10.1002/lsm.22440

Krueger, N., Mai, S. V., Luebberding, S., & Sadick, N. S. (2014). Cryolipolysis for noninvasive body contouring: clinical efficacy and patient satisfaction. Clinical, Cosmetic and Investigational Dermatology, 7, 201–205. https://doi.org/10.2147/CCID.S44371

Linardon, J., Tylka, T. L., & Fuller-Tyszkiewicz, M. (2021). Intuitive eating and its psychological correlates: A meta-analysis. The International Journal of Eating Disorders, 54(7), 1073–1098. https://doi.org/10.1002/eat.23509

Messer, M., Lee, S., & Linardon, J. (2023). Longitudinal association between self- compassion and intuitive eating: Testing emotion regulation and body image flexibility as mediating variables. Journal of Clinical Psychology, 79(11), 2625–2634. https://doi.org/10.1002/jclp.23569

Morgan, J. F., Reid, F., & Lacey, J. H. (1999). The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ (Clinical Research Ed.), 319(7223), 1467–1468. https://doi.org/10.1136/bmj.319.7223.1467

Ottenhof, M. J., Veldhuizen, I. J., Hensbergen, L. J. V., Blankensteijn, L. L., Bramer, W., Lei, B. V., Hoogbergen, M. M., Hulst, R. R. W. J., & Sidey-Gibbons, C. J. (2022). The use of the FACE-Q aesthetic: A narrative review. Aesthetic Plastic Surgery, 46(6), 2769–2780. https://doi.org/10.1007/s00266-022-02974-9

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo- Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ (Clinical Research Ed.), 372, n71. https://doi.org/10.1136/bmj.n71

Pikoos, T. D., Rossell, S. L., Tzimas, N., & Buzwell, S. (2021). Is the needle as risky as the knife? The prevalence and risks of body dysmorphic disorder in women undertaking minor cosmetic procedures. The Australian and New Zealand Journal of Psychiatry, 55(12), 1191–1201. https://doi.org/10.1177/0004867421998753

Qureshi, A. A., Parikh, R. P., Sharma, K., Myckatyn, T. M., & Tenenbaum, M. M. (2017). Nonsurgical facial rejuvenation: Outcomes and safety of neuromodulator and soft-tissue filler procedures performed in a resident cosmetic clinic. Aesthetic Plastic Surgery, 41(5), 1177–1183. https://doi.org/10.1007/s00266-017-0892-1

Rajanala, S., Maymone, M. B. C., & Vashi, N. A. (2018). Selfies-living in the era of filtered photographs. JAMA Facial Plastic Surgery, 20(6), 443–444. https://doi.org/10.1001/jamafacial.2018.0486

Roy, M., Perry, J. A., & Cross, K. M. (2018). Nutrition and the plastic surgeon: Possible interventions and practice considerations. Plastic and Reconstructive Surgery. Global Open, 6(8), e1704. https://doi.org/10.1097/GOX.0000000000001704

Rück, C., Mataix-Cols, D., Feusner, J. D., Shavitt, R. G., Veale, D., Krebs, G., & Fernández de la Cruz, L. (2024). Body dysmorphic disorder. Nature Reviews. Disease Primers, 10(1), 92. https://doi.org/10.1038/s41572-024-00577-z

Sanzari, C. M., Gorrell, S., Anderson, L. M., Reilly, E. E., Niemiec, M. A., Orloff, N. C., Anderson, D. A., & Hormes, J. M. (2023). The impact of social media use on body image and disordered eating behaviors: Content matters more than duration of exposure. Eating Behaviors, 49(101722), 101722. https://doi.org/10.1016/j.eatbeh.2023.101722

Sarwer, D. B. (2019). Body image, cosmetic surgery, and minimally invasive treatments. Body Image, 31, 302–308. https://doi.org/10.1016/j.bodyim.2019.01.009

Schünemann, H. J., Cuello, C., Akl, E. A., Mustafa, R. A., Meerpohl, J. J., Thayer, K., Morgan, R. L., Gartlehner, G., Kunz, R., Katikireddi, S. V., Sterne, J., Higgins,

J. P., Guyatt, G., & GRADE Working Group. (2019). GRADE guidelines: 18. How ROBINS-I and other tools to assess risk of bias in nonrandomized studies should be used to rate the certainty of a body of evidence. Journal of Clinical Epidemiology, 111, 105–114. https://doi.org/10.1016/j.jclinepi.2018.01.012

Seth, I., Lim, B., Cevik, J., Gracias, D., Chua, M., Kenney, P. S., Rozen, W. M., & Cuomo, R. (2024). Impact of nutrition on skin wound healing and aesthetic outcomes: A comprehensive narrative review. JPRAS Open, 39, 291–302. https://doi.org/10.1016/j.jpra.2024.01.006

Sterne, J. A., Hernán, M. A., Reeves, B. C., Savovi?, J., Berkman, N. D., Viswanathan, M., Henry, D., Altman, D. G., Ansari, M. T., Boutron, I., Carpenter,

J. R., Chan, A.-W., Churchill, R., Deeks, J. J., Hróbjartsson, A., Kirkham, J., Jüni, P., Loke, Y. K., Pigott, T. D., … Higgins, J. P. (2016). ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions. BMJ (Clinical Research Ed.), 355, i4919. https://doi.org/10.1136/bmj.i4919

Taba, J. V., Suzuki, M. O., Nascimento, F. S. do, Iuamoto, L. R., Hsing, W. T., Pipek, L. Z., Carneiro-D’Albuquerque, L. A., Meyer, A., & Andraus, W. (2021). The development of feeding and eating disorders after bariatric surgery: A systematic review and meta-analysis. Nutrients, 13(7), 2396.

https://doi.org/10.3390/nu13072396

Vitagliano, T., Garieri, P., Lascala, L., Ferro, Y., Doldo, P., Pujia, R., Pujia, A., Montalcini, T., Greco, M., & Mazza, E. (2023). Preparing patients for cosmetic surgery and aesthetic procedures: Ensuring an optimal nutritional status for successful results. Nutrients, 15(2), 352. https://doi.org/10.3390/nu15020352

Yurtda?-Depboylu, G., Kaner, G., & Özçakal, S. (2022). The association between social media addiction and orthorexia nervosa, eating attitudes, and body image among adolescents. Eating and Weight Disorders: EWD, 27(8), 3725–3735. https://doi.org/10.1007/s40519-022-01521-4

Zimmer, R., Methfessel, I., Heiss, L., Kovacs, L., & Papadopulos, N. A. (2022). Eating disorders: A neglected group of mental disorders in patients requesting aesthetic surgery. Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS, 75(2), 840–849. https://doi.org/10.1016/j.bjps.2021.09.080

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Published

2026-01-31

How to Cite

Fregoso Sandoval, Jose Luis, Jose Roberto Espinoza Villegas, and Jassive Sanchez Tovar. 2026. “Non-Surgical Aesthetic Procedures and Eating Behavior: A Review of Motivational and Dietary Changes Associated With Body Image”. Journal of Behavior and Feeding 5 (10):1-7. https://doi.org/10.32870/jbf.v5i10.112.

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