Unnecessary cosmetic surgeries, driven by unrealistic beauty standards and social pressures, have become a global challenge. This systematic review analyzes the effectiveness of integrative interventions combining Cognitive Behavioral Therapy (CBT) and Positive Psychology in reducing body dissatisfaction and the tendency for cosmetic surgeries. The study synthesizes findings from multiple empirical studies (2020-2023) sourced from reputable databases, including PsycINFO, PubMed, and Google Scholar. Results indicate that the combination of cognitive restructuring (CBT) and self-compassion exercises from Positive Psychology significantly reduces social anxiety and social comparison, as measured by Cohen's d effect size. Cross-cultural analysis conducted in Iran, South Korea, and the United States revealed that media influences—such as cosmetic surgery advertisements on Instagram in Iran and Korean television programs act as mediating factors in reducing intervention effectiveness. In Iran, 67% of women perceive thinoplasty as a means of improving social opportunities, whereas in South Korea, 90% of female actors consider eyelid surgery an essential part of professional development. In the United States, the contradiction between body positivity movements and influencer-driven beauty advertisements has led to cognitive dissonance in 40% of women This research suggests that integrative interventions should adopt a culture-sensitive approach and be incorporated into public policies.

Cognitive Behavioral Therapy Positive Psychology Unnecessary Cosmetic Surgery Body Image Cross Cultural Analysis