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Highlights
● There was a significant relationship between perfectionism, early maladaptive schemas, and body image concerns in cosmetic surgery applicants.
● There was a significant relationship between attachment styles, self-esteem, and body image concerns in cosmetic surgery applicants.
● The indirect paths of perfectionism, early maladaptive schema, and attachment styles through self-esteem were significant.
Plain Language Summary
Cosmetic surgery is among the most popular surgeries worldwide, especially in Iran. This study investigated the association between perfectionism, early maladaptive schemas, attachment styles, and body image concerns through the mediation of self-esteem in cosmetic surgery applicants. The relevant results suggested that the modified model had a good fit and the indirect paths of perfectionism, early maladaptive schema, and attachment styles through self-esteem were also significant. The evaluated model had a good fit and can play an important role in recognizing the factors affecting the body image concerns of female cosmetic surgery applicants.