Cosmetic procedures and beauty enhancements are often a topic of debate, but Shruti Haasan has always been open about her choices. Addressing discussions around her appearance in an interview with Hauterrfly, she shared, "I did get my nose fixed and it was very obvious I got my nose fixed. My nose was broken and quite different before, and I did my first film with my old nose. And then people were like, oh she’s just using the deviated septum excuse. No, I did have a deviated septum, it hurt. But if I could make it prettier, it’s my face, why wouldn’t I? It was that simple. I don’t feel the need to justify why I want to look a certain way for myself. Then they said, ‘Why did you get fillers?’ Yeah I did. And tomorrow, would you get a facelift? Maybe, maybe not. Who knows? It’s my body.” Her statement highlights the evolving conversation around aesthetic procedures - where personal choice, societal expectations, and self-perception intersect. While some view cosmetic enhancements as a confidence booster, others question their long-term impact. But what really influences these decisions, and how do they affect an individual’s self-image and public perception? Sonal Khangarot, licensed rehabilitation counsellor and psychotherapist, The Answer Room, tells indianexpress.com, “Society’s ever evolving definition of beauty exerts profound influence on individuals contemplating procedures like rhinoplasty or fillers. The omnipresence of idealised images in media and the rise of social platforms showcasing curated perfection can amplify personal insecurities. A study highlighted that dissatisfaction with body image is a primary motivator for seeking cosmetic surgery, suggesting that societal standards significantly shape these decisions.” View this post on Instagram A post shared by HAUTERRFLY | A Fork Media Group Co. (@hauterrfly) Psychological effects of cosmetic enhancements on self-esteem and body image over time According to Khangarot, the psychological impact of cosmetic procedures is multifaceted. Research indicates that many patients experience enhanced self esteem and body image post surgery. “However these benefits are not universal. Some individuals may not achieve the anticipated psychological uplift leading to persistent dissatisfaction or a desire for additional procedures. This underscores the importance of realistic expectations and thorough psychological assessment prior to surgery,” she states. Striking a balance between personal choice and external pressures when considering aesthetic procedures Navigating the fine line between personal autonomy and societal expectations is crucial when considering aesthetic enhancements. Khangarot states, “Individuals should engage in introspective evaluation to discern intrinsic desires from external influences. Consulting with mental health professionals can provide clarity, ensuring that decisions are rooted in personal wellbeing rather than a response to social pressure.” In essence, while cosmetic procedures can offer psychological benefits, they are not a panacea for deeper self esteem issues. A holistic approach, emphasising self acceptance and mental health remains paramount, recommends the expert.