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Scientific Oral Presentations

Facial Plastic and Reconstructive Surgery

Session: Scientific Oral Presentation 1 - Facial Plastics and Reconstructive Surgery

Revisiting the Acceptance of Cosmetic Surgery Scale for Today’s Patients

Sunday, October 12, 2025

1:48 PM - 1:54 PM EDT

Location: 137

Disclosure(s):

Cole L. Bird, MS:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Introduction: The Acceptance of Cosmetic Surgery Scale (ACSS), validated in 2005, has been widely used to assess attitudes toward cosmetic surgery. With evolving societal contexts, including social media, video conferencing, and new aesthetic norms, an updated tool is needed to capture contemporary influences. This study aimed to re-validate the ACSS to reflect current norms and patient considerations, including social media, appearance preferences, cultural factors, costs, and perceived risks.

Methods: This cross-sectional study, conducted from August to November 2024, evaluated attitudes toward cosmetic surgery using the revised ACSS (ACSS-R). Item revisions were informed by a literature review and input from facial plastic surgeons. Participants were recruited via Prolific, meeting U.S. residency, English proficiency, and "Master" status. A pilot test (N=30) refined item clarity before distribution to N=300 for validation. The sample was representative of the U.S. (51% Female; 37% Non-White). Psychometric analyses included Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) to assess the factor structure and reliability of the ACSS-R.

Results: EFA of the ACSS-R (10 new items) revealed four distinct constructs: risk perception, cultural considerations, gender-related views, and cost concerns. Items within each construct demonstrated strong factor loadings (≥0.4). The scale showed strong internal consistency (Cronbach’s α>0.7). CFA supported the ACSS-R as a standalone scale, capturing modern influences on cosmetic surgery acceptance, rather than integrating new items into the original ACSS subscales.

Conclusions: The newly developed scale exhibits strong psychometric properties and effectively reflects contemporary factors shaping cosmetic surgery perceptions. Its future use will offer insights into patient motivations, particularly under social media's growing influence. The ACSS-R serves as a foundation for research on demographic influences and supports patient education and counseling.

Presenting Author(s)

Cole L. Bird, MS

Medical Student
University of Kansas Medical Center
Lees Summit, MO, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Co-Author(s)

Cole L. Bird, MS

Medical Student
University of Kansas Medical Center
Lees Summit, MO, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
CC

Cynthia M. Chweya, MD

Otolaryngology-Head and Neck Surgery Resident
University of Kansas Medical Center
Kansas City, Kansas, United States

Disclosure information not submitted.
Uma R. Ramesh, MD

Clinical Research Fellow
University of Kansas Medical Center
kansas city, MO, United States

Disclosure information not submitted.
RW

Robert Wright, Other

University of Kansas Department of Otolaryngology, United States

Disclosure information not submitted.
JF

John Flynn, MD

Assistant Professor
Kansas University Physicians Inc, United States

Disclosure information not submitted.
Frank T. Materia, PhD, MHS

Assistant Professor
University of Kansas Medical Center
Kansas City, Kansas, United States

Disclosure information not submitted.

Senior Author(s)

Frank T. Materia, PhD, MHS

Assistant Professor
University of Kansas Medical Center
Kansas City, Kansas, United States

Disclosure information not submitted.