As cosmetic procedures continue their meteoric rise globally, a groundbreaking study from the Hebrew University of Jerusalem reveals a psychological dimension that could transform our understanding of these increasingly common treatments. The research, spearheaded by Dr. Vera Skvirsky and colleagues at the Israeli Center for Addiction and Mental Health (ICAMH), indicates that for a subset of women, the repetitive pursuit of cosmetic enhancements may manifest with patterns akin to behavioral addiction.
Surveying a diverse cohort of 1,614 Jewish Israeli women aged between 25 and 71, the study published in the Journal of Health Psychology employed diagnostic criteria adapted from substance-related disorders to assess what the researchers term “addictive cosmetic procedure use” (ACPU). Astonishingly, one in five women who had engaged in cosmetic interventions met the threshold for moderate to severe risk of ACPU at some point in their lives, with over 15% exhibiting symptoms within the past year.
What sets this research apart is its focus beyond clinical settings to capture population-wide psychological trends associated with repeated cosmetic procedures. The study reveals that low body esteem coupled with problematic social media use significantly elevates vulnerability to addictive patterns of cosmetic treatment engagement. The compulsive behavior was characterized by unsuccessful attempts to cease cosmetic interventions, compulsions to continue despite adverse consequences, and cravings related to undergoing treatments.
This innovative approach sheds new light on the complex interplay between digital environments, self-perception, and cosmetic behaviors. While exposure to beauty-centric content on social media platforms can amplify dissatisfaction with physical appearance, the added psychological pressure may drive susceptible individuals toward excessive cosmetic alterations. The synergistic effect between social media overuse and diminished body esteem emerges as the most potent risk factor for ACPU.
Smaller but noteworthy associations were also found concerning lower levels of feminist attitudes, insecure attachment styles, and negative perceptions of aging. However, these factors were less consistent when analyzed in conjunction with the primary variables. Importantly, the research emphasizes that cosmetic procedures are not inherently detrimental but highlights how in certain cases these repeated behaviors can take on addiction-like qualities observed in other behavioral health conditions.
The rise in cosmetic interventions reflects a global trend—procedures have surged by nearly 40% between 2019 and 2023, underscoring the urgency of understanding the psychological ramifications beyond superficial outcomes. The study remains cautious in its cross-sectional design, noting the ambiguity in causal relationships between social media behavior, body image, and cosmetic procedure engagement.
These findings open critical avenues for mental health professionals and public health policymakers to identify and support individuals at risk for ACPU. As cosmetic enhancements become normalized and widely accessible, recognizing the potential for compulsive engagement distinguished by psychological distress and loss of control is essential. This research calls for a nuanced perspective that balances the empowering aspects of cosmetic treatments with an awareness of emerging behavioral health challenges.
Subject of Research: People
Article Title: Prevalence of addictive use of cosmetic procedures and risk factors among Israeli women
News Publication Date: 15-May-2026
Web References: DOI: 10.1177/13591053261444719
Image Credits: Dudi Lazar, Israeli Center for Addiction and Mental Health (ICAMH)
Keywords: Mental health, Addiction, Cosmetic surgery, Social media, Women’s studies, Self esteem
