“…Negative personality traits (e.g., aloof, narcissistic, materialistic) and psychological states are ascribed to them; relatedly, some are less willing to make friends with them (Delinsky, 2005;Tam et al, 2012). A more recent study carried out among 985 adults in the U.S., a country where cosmetic surgery is very popular, also shows that cosmetic surgery patients are seen as less warm, moral, and competent in relation to non-patients (Bonell et al, 2020). Some may consider cosmetic surgery immoral due to perceiving that it can harm physical and psychological health, as described above (e.g., Bonell et al, 2020); however, since women who wear makeup can also be seen as less competent, warm, and moral (e.g., Bernard et al, 2019Bernard et al, , 2020Kellie et al, 2021), it is reasonable to assume that people's negative attitudes toward cosmetic surgery may be attributed more to factors associated with beauty enhancement.…”