Plastic Surgery: Change on the Outside, Confidence on the Inside?

CEFR Level: B1–B2
Category: Health & Lifestyle / Appearance

What can you do if you’re not happy with your appearance? Work out? Use make-up?

Or consider something more permanent—like plastic surgery?

Plastic surgery today can completely alter how someone looks—from the hair on their head to the length of their toes.

Whether it’s breast augmentation, rhinoplasty, or liposuction, the options are endless.

But is changing your body always a matter of vanity? Or can it also be life-changing in other ways?

👀 A Look in the Mirror

We all have insecurities. Maybe it’s slim jawlines, or the lack of a dimple when we smile. Perhaps we long for rounded buttocks, muscular arms, or plump lips. Plastic surgery offers ways to alter our appearance, often by using artificial materials or by performing operations like transplantation or skin grafting.

But why do people really choose surgery?

Some want to improve their confidence. Others have suffered injuries or illnesses, like burn victims who need skin grafting, or breast cancer survivors who choose surgery to recreate their appearance through breast augmentation.

🧠 The Psychology Behind the Procedure

Plastic surgery isn’t just about beauty—it’s often about mental well-being.

When people choose to implant new features, reverse damage, or remove physical reminders of trauma, they’re also healing inside.

For many, walking out of the clinic with renewed oomph and self-belief is the true goal.

🧬 A Bit of History: The Dimple Device

Back in 1926, a strange device called a dimple-maker was invented. Women would wear it tightly around their cheeks, with two rods pressing into their skin. It was painful—but the idea was to create a dimple over time!

Today, people might just choose surgery instead. But this shows how long the desire to “perfect” our image has existed.

🏋️‍♀️ Common Procedures Today

Plastic surgery can now:

  • Transfer fat to create athletic chests or muscular arms

  • Shorten toes so shoes fit better

  • Use silicone to enhance plump lips

  • Insert colored lenses to change eye color

  • Add permanent dimples

  • Fix baldness with hair transplants

  • Even implant stomach hair for a more “masculine” look

📊 Fast Facts & Market Trends: Plastic Surgery in Numbers

  • 🌍 Top Countries: The U.S., Brazil, South Korea, and Turkey are global leaders in cosmetic procedures.

  • 💰 Global Market Value: The cosmetic surgery industry was worth over $63 billion in 2023, and it continues to grow.

  • 👃 Most Common Procedures: According to ISAPS (2023), the top surgeries worldwide were liposuction, breast augmentation, and eyelid surgery.

  • 📱 Social Media Impact: A 2022 survey found that 72% of people aged 18–30 said social media made them consider changing their appearance.

  • 🧑‍⚕️ Non-Surgical Trend: Minimally invasive procedures like Botox and fillers are rising faster than full surgeries—offering results with less downtime.

  • 💡 Fun Fact: South Korea has the highest rate of cosmetic surgery per capita—it's often seen as a graduation gift!

🌐 Why Is It So Popular?

Thanks to social media, we’re constantly comparing ourselves to celebrities. Beauty is now filtered, edited, and shared worldwide.

More people feel pressure to change. And with prices dropping, surgery is no longer just for the rich and famous.

Still, it’s not for everyone. The decision should be personal, well-informed, and free of judgment.

💬 Vocabulary Builder

(All words appear in bold in the reading text)

  • Athletic chest – strong and fit chest

  • Artificial material – not natural, made to imitate something real

  • Breast augmentation – surgery to make the breasts larger

  • A dimple – a small hollow on your cheek that appears when smiling

  • Liposuction – surgery to remove fat from the body

  • Muscular arms – strong arms with visible muscle

  • Plump lips – full, rounded lips

  • Rhinoplasty – surgery to reshape the nose

  • Rounded buttocks – curvy, full buttocks

  • Skin grafting – moving skin from one body part to another

  • Slim jawlines – a thin and defined lower face shape

  • Transplantation – placing an organ or tissue into another body

  • To alter – to make something different

  • To implant – to place something inside the body surgically

  • To recreate – to make something exist again

  • To remove – to take something away

  • To reverse – to undo or go back to a previous state

  • Oomph – enthusiasm, energy, or sparkle

🗣️ Idioms & Phrasal Verbs

  • Go under the knife – to have surgery

  • Feel comfortable in your own skin – to feel confident about yourself

  • Go the extra mile – to put in extra effort

  • Judge a book by its cover – judge someone by appearance

  • Fit the mold – look like the “ideal” person

  • Break the mold – to be different from expectations

  • Patch things up – to fix or heal, emotionally or physically

📖 Comprehension Check

True or False:

  • Plastic surgery is only for beauty purposes.

  • A dimple-maker was a real invention from the 1920s.

  • Skin grafting is used only for fashion purposes.

  • Some men request hair transplants on their stomachs.

  • All people who get plastic surgery are celebrities.

Answers:

  • False

  • True

  • False

  • True

  • False

🔍 Discussion Starters

  • Would you ever consider plastic surgery? Why or why not?

  • Do you think it’s okay to use surgery for beauty?

  • What’s the difference between confidence and vanity?

  • How has social media affected our views on appearance?

  • Should we judge others for changing their looks?

Final Thoughts

Plastic surgery, like any tool, can be used for good or for vanity. But beneath every operation lies a human story—a desire to feel whole, attractive, or simply themselves.

In a world full of comparisons, perhaps the real challenge isn’t changing your body—but learning to respect every body, just as it is.

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HEY, I’M HENRY

Hi, I’m Henry Lilienfield, a TEFL veteran with teaching experience across China, Taiwan, Oman, Saudi Arabia, Iraq, South Africa, and online. With a law degree, two post-grad qualifications in Education Management and Development Studies, and a Level 5 TEFL Diploma, I bring deep knowledge and a practical approach to everything I teach—whether it’s English lessons or how to start your own online teaching business.

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