7. Plastic, Reconstructive and Cosmetic Surgery

photo filter use was linked to an increased tendency to strive for a "perfect," and thereby unrealistic, physical appearance. Conclusion:The increasing trend toward digital beautification through photo filter use appears to be associated with unrealistic expectations regarding physical appearance as well as heightened checking behavior.In particular, we identified novel "red flags" for aesthetic surgery, namely exaggerated or unrealistic expectations of surgical outcomes in the context of social media photo filter use.However, we did not observe a pathological pattern in the sense of BDD that was directly attributable to photo filter use.Whether this phenomenon represents a pathological condition or a broader cultural shift in shaping surgical demand remains uncertain.However, when patients present digitally filtered images as reference points, this should be regarded as a clinical "red flag."Such expectations often reflect unattainable ideals and may predispose to postoperative dissatisfaction.For cosmetic surgeons, these cases require careful preoperative counseling, clear communication of achievable outcomes, and, where necessary, consideration of psychological assessment.