The aim of this study was to investigate the effects of tajin kyofusho, appearance–based rejection sensitivity, and body dysmorphic concerns on the acceptance of cosmetic surgery. Based on previous study results and conceptual meanings, the research model was set up and verified to be fit the relationships among variables using Structural Equation Modeling(SEM). The data was collected from 405 Koreans, aged 18-29, through self-report questionnaires. From the results of self-report questionnaires, only body dysmorphic concerns had a direct effect on the acceptance of cosmetic surgery. The appearance–based rejection sensitivity and tajin kyofusho had a indirect effect on the acceptance of cosmetic surgery, mediated by body dysmorphic concerns. Moreover the dual mediation of appearance–based rejection sensitivity and body dysmorphic concerns was significant between tajin kyofusho and the acceptance of cosmetic surgery. In the comparison of three alternative models and the study model, the alternative model 1 was deemed to be better than other alternative models and the study model. Finally, we verified that the research model could be apply to both male and female group, through the use of multiple group analysis. The structural relations of the variables were confirmed to be similar in both groups. The results of this study strongly suggest that psychological interventions focused on body dysmorphic concerns and other variable could be beneficial to improve the satisfaction in cosmetic surgery. Moreover, the implications of this study, limitations, and suggestions for subsequent study were discussed.
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