many are not happy with the results of the surgery. The concept must be understood that surgery will not save a marriage or make someone a super model. The psychological well being of the individual must be evaluated by the physician to determine if the surgery is appropriate for the patient (Sevinor).A major factor of self-esteem is being comfortable with outer appearance. Another major factor of self-esteem is feeling good mentally. Lack of confidence and/or self-esteem due to unsightly features or irregularities drives many people to surgery. The want for cosmetic surgery starts with a quest to change the outside to help satisfy inner feelings. Sevinor points out that there is a relationship between self-image and the desire to change ones looks. Gaynors statement beauty may be only skin deep, but that thin layer of skin is awfully important in almost all our interactions as human beings (18) is a bitter reality. The world tends to give attractive people the upper hand. Gaynor declares looking as good as possible can remove an often secret barrier to success (3). He tells of observations when patients underwent surgeries such as face and eyelifts, then received higher paying jobs. Typically, the better-looking person of two people equally qualified that are up for the same job will result in the more attractive person getting the job. Suffering a loss such as layoffs, promotions denied due to age, or death often sends people looking for youthful appearances to help deal with the issue (18). Many of the aging baby boomers are beginning to search for the fountain of youth. They look in the mirror and realize that they do not look as good as they feel (Sevinor). In the 1990s, one American turned fifty every seven seconds [which has played a part in the increase of cosmetic surgery] (Gaynor 1). The top five most frequently done procedures [on people sixty-five and over] were face-lifts, eyelid surgery, chemical peels , c...
