Patient Decision Making in Cosmetic Dermatology: The Role of Trust, Psychological Motivations and Social Influences (Cross-Sectional Research)
Year: 2026
Type: article
Study design: Observational Study
Abstract: Objective: Understanding the factors influencing patient decision-making in cosmetic dermatology is essential for optimizing patient counseling and ethical clinical practice. This study aimed to assess the factors influencing decision-making among individuals undergoing aesthetic dermatologic procedures and to examine their associations with demographic characteristics. Material and Methods: This cross-sectional survey included 106 adults who had previously undergone at least one aesthetic dermatologic procedure. The sample size was determined pragmatically based on patient availability during the study period. Participants completed a structured questionnaire assessing demographic characteristics and factors influencing decision-making using a 5-point Likert scale. Statistical analyses were performed to evaluate associations between decision-making factors and patient characteristics. Results: The most influential factors in the decisionmaking process were trust in the physician (87.9%), clinic reputation (81.3%), and adequate explanation of potential risks and adverse effects (69.2%). Social media and influencer-related factors had relatively low influence. Influencer impact showed a significant inverse correlation with age (r=-0.31, p=0.001). The desire to enhance self-confidence was reported more frequently by women than men (68.6% vs. 45%, p=0.047). Conclusion: Patient decision-making in cosmetic dermatology is primarily driven by physician-related factors and psychological motivations rather than social media influences. These findings highlight the importance of trust, professional credibility, and transparent communication in aesthetic dermatologic practice.
Institution: Ankara Bilkent City Hospital
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: hybrid
OpenAlex ID: W7203589075