Osama Shattarah

Background Social media and the widespread use of selfie filters have reshaped beauty expectations and intensified appearance-related pressures among women. In Jordan, where the popularity of aesthetic procedures is rising, little is known about how filtered images influence body image perception and satisfaction after aesthetic procedures. Objective To examine the association between selfie filter use and social media engagement on body image perception, and satisfaction after aesthetic procedures among Jordanian women. Methods A cross sectional study was conducted among 390 women aged 18–50 years attending public and private aesthetic clinics in Jordan. Participants completed a structured questionnaire covering demographics, cosmetic history, social media habits, and validated psychological measures (BIDQ, FACE-Q, and PsychFilt). Statistical analyses involved group comparisons, correlations, and multivariable regression. Results Participants had a mean age of 33 years. Selfie filters were used by 80.5% of women, and 52.8% reported that social media influenced their decision to undergo aesthetic procedures. Filter users were younger (31.8 vs. 37.9 years, p < 0.001), more active online, and posted selfies more often (daily posting: 20.1% vs. 2.6%). They reported higher BIDQ scores (9.95 vs. 7.95) and higher PsychFilt scores (10.76 vs. 7.05). Filters use independently predicted both greater body image dissatisfaction (β = 1.60, p = 0.013) and stronger psychological impact (β = 3.09, p < 0.001). Satisfaction with procedures was similar between groups. Conclusion Selfie filter use is strongly linked to higher body image dissatisfaction and greater psychological sensitivity to digitally altered images among Jordanian women undergoing aesthetic procedures. These findings highlight the need for integrating media-related counseling and psychological assessment into aesthetic practice. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Background: Achieving breast symmetry is an important aesthetic goal following reconstruction post-mastectomy; however, little is known about women’s awareness, attitudes, and barriers regarding Contralateral Breast Symmetry Procedures (CBSP) in Jordan. Objectives: To assess awareness, perceptions, and barriers toward contralateral breast symmetry procedures among breast cancer survivors who underwent reconstruction at King Hussein Cancer Center. Methods: A cross-sectional study was conducted from July to Oct 2025 at KHCC, among 314 women diagnosed with breast cancer who had post-breast reconstruction. Data were collected using a structured Arabic questionnaire, which was developed based on existing literature, validated by an expert panel, and piloted on 10 women for clarity and reliability. The final tool demonstrated acceptable internal-consistency (Cronbach’s α = 0.712). The questionnaire captured sociodemographic and clinical data and detailed knowledge, attitudes, and barriers related to CBSP. Descriptive statistics summarized the data. Results: Participants’ mean age was 45.8 years; the majority were married (83.8%) and held university degrees (65.6%). Most reconstructions used silicone implants (94.6%). Only 6.4% had undergone CBSP, primarily delayed breast augmentation or mastopexy, with 75% reporting satisfaction. Awareness of CBSP was limited (37.9%), and less than one-third had discussed CBSP options with their surgeon or knew about insurance coverage. While 82.5% valued symmetry for body image, 31.5% viewed it as unnecessary after cancer recovery. Main barriers included satisfaction with current appearance (48.1%), fear of additional surgery (32.2%), financial constraints (37.3%), and lack of physician counseling (27.1%). Trust in medical team recommendations was high (89.2%). Conclusions: Contralateral breast symmetry procedures are under-recognized and infrequently pursued, primarily due to limited awareness, financial concerns, and insufficient counseling. Focused education and enhanced surgeon–patient communication are essential to support women’s aesthetic and psychological needs after reconstruction in Jordan.