Abstract
In contemporary aesthetic medicine, non-surgical facial rejuvenation procedures have expanded rapidly, offering minimally invasive alternatives for addressing age-related structural and dermatological changes. While physiological outcomes are extensively documented, the psychosocial ramifications for middle-aged women require deeper, multi-dimensional inquiry. This mixed-methods study investigated the psychological impact of non-surgical facial interventions—specifically botulinum toxin type A and hyaluronic acid dermal fillers—on body image satisfaction and global self-esteem among women aged 40 to 60 years. A prospective cohort of 142 female participants completed validated psychometric assessments, including the Rosenberg Self-Esteem Scale (RSES) and relevant subscales of the FACE-Q instrument, at baseline, 4 weeks, and 12 weeks post-treatment. Concurrently, semi-structured qualitative interviews were conducted with a purposive subsample (n = 24) to capture nuanced personal narratives. Quantitative analyses revealed statistically significant improvements in both facial appearance satisfaction and psychological well-being at 4 weeks, with durable gains maintained at 12 weeks (p < 0.001). Qualitative thematic analysis contextualized these gains, identifying central themes of "restoring congruence between internal vitality and external appearance," "mitigating appearance-related fatigue," and "experiencing subtle workplace and social empowerment." Crucially, participants sought authenticity rather than radical youthfulness. These findings underscore that non-surgical facial rejuvenation functions not merely as an aesthetic enhancement, but as an intervention facilitating psychological self-congruence and holistic well-being.
