# Beauty Standards and Societal Influences on Facelift Surgery Decisions in Saudi Arabia

## TL;DR

This study explores why people in Saudi Arabia consider facelift surgery, highlighting the role of beauty standards, social media, and age-related motivations.

## Contribution

The study provides new insights into facelift surgery motivations specific to Saudi cultural and societal contexts.

## Key findings

- 39% of participants would consider facelift surgery, mainly for self-confidence and societal beauty standards.
- Social media and plastic surgeon consultations significantly influence perceptions of facelift surgery.
- Older participants were more likely to consider facelifts to feel young again compared to younger participants.

## Abstract

Introduction

Facelifting, or rhytidectomy, is a surgical procedure to reduce facial wrinkles and create a youthful appearance. This study aims to explore the factors influencing the decision to undergo facelift surgery in Saudi Arabia, focusing on beauty standards and cultural expectations.

Methods

We conducted a cross-sectional study from January to December 2024, recruiting Saudi individuals 18 years or older. We developed and validated a questionnaire in both English and Arabic, which was distributed via social media platforms and healthcare networks. Data were analyzed using IBM SPSS Statistics for Windows, Version 27.0 (IBM Corp., Armonk, NY), with categorical variables summarized as frequencies and percentages. Associations between demographic variables and attitudes toward facelift surgery were assessed using the Chi-square test, with statistical significance set at p < 0.05.

Results

Among 726 participants, most were 36 to 45 years (n=195, 26.9%) and male (n=379, 52.2%). Most held a postgraduate degree (n=284, 39.1%) and were employed (n=352, 48.5%). Overall, 39% (n=283) agreed or strongly agreed with undergoing facelift surgery, citing self-confidence (n=283, 39%) and societal beauty standards (n=287, 39.5%) as key motivations. Social media influence (n=294, 40.5%) and plastic surgeon consultations (n=296, 40.8%) significantly shaped perceptions. Participants of >55 years were more likely to undergo facelifts to feel young again (n=87, 50.6%) compared to those aged 18 to 25 years (n=32, 30.2%, p = 0.048).

Conclusions

This study highlights multiple factors influencing attitudes toward facelift surgery, including societal beauty standards, media influence, and professional consultations. While findings align with global trends, the perception of facelifts as procedures primarily for older adults suggests unique cultural influences. These insights are crucial for healthcare providers and policymakers to address the growing demand for cosmetic procedures while ensuring informed decision-making. Further research should explore long-term trends in cosmetic surgery within Saudi Arabia.