Prospective Cohort Study Investigating Changes in Body Image, Quality of Life, and Self-Esteem Following Minimally Invasive Cosmetic Procedures

Dermatol Surg. 2018 Aug;44(8):1121-1128. doi: 10.1097/DSS.0000000000001523.


Background: Minimally invasive cosmetic injectable procedures are increasingly common. However, a few studies have investigated changes in psychosocial functioning following these treatments.

Objective: To assess changes in body image, quality of life, and self-esteem following cosmetic injectable treatment with soft tissue fillers and neuromodulators.

Methods: Open, prospective study of 75 patients undergoing cosmetic injectable procedures for facial aging to evaluate changes in psychosocial functioning within 6 weeks of treatment. Outcome measures included the Derriford appearance scale (DAS-24), body image quality of life inventory (BIQLI), and the Rosenberg self-esteem scale.

Results: Body image dissatisfaction, as assessed by the DAS-24, improved significantly 6 weeks after the treatment. Body image quality of life, as assessed by the BIQLI, improved, but the change did not reach statistical significance. Self-esteem was unchanged after the treatment.

Conclusion: Minimally invasive cosmetic injectable procedures were associated with reductions in body image dissatisfaction. Future research, using recently developed cosmetic surgery-specific instruments, may provide further insight into the psychosocial benefits of minimally invasive procedures.

MeSH terms

  • Adult
  • Aged
  • Body Image*
  • Cohort Studies
  • Dermal Fillers / administration & dosage*
  • Female
  • Humans
  • Injections, Intradermal
  • Male
  • Middle Aged
  • Neurotransmitter Agents / administration & dosage*
  • Prospective Studies
  • Quality of Life*
  • Self Concept*
  • Surgery, Plastic / methods*
  • Surgery, Plastic / psychology*
  • Young Adult


  • Dermal Fillers
  • Neurotransmitter Agents