Review began 10/11/2022 Review ended 10/16/2022 Published 10/18/2022 © Copyright 2022 Dossari et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Attitude and Perception Toward Taking Selfies and Using Filters and Their Relationship With Blepharoplasty Saif K. Dossari , Ahmed Z. Alkhars , Mahdee Albahrani , Mohammed H. Alam , Ahmed Alali , Sarah K. Aljamri , Hussam F. Alkhars 1. Surgery, King Faisal University, Hofuf, SAU 2. General Physician, AlJaber Eye and ENT Hospital, Al-Ahsa, SAU 3. General Physician, AlJaber Eye and ENT Hospital, Hofuf, SAU 4. General Physician, AlJaber Eye and ENT Hospital, Khobar, SAU 5. Medicine, King Fahad University Hospital, Dammam, SAU 6. Medicine and Surgery, King Faisal University, Alhofuf, SAU Corresponding author: Ahmed Z. Alkhars, azamkx@gmail.com Abstract Background: Due to the general increase in the use of social media, the increasing popularity of taking selfies and using filters, we found it essential to examine the effect of these behaviors on the perception and attitude toward blepharoplasty. Aim: This article was conducted to assess participants’ attitudes and perceptions toward taking selfies and using filters and their relation to blepharoplasty. Methods: This study was an observational cross-sectional study undertaken in Saudi Arabia. The study targeted all adults in Saudi Arabia. The study subjects are adults living in Saudi Arabia who consented to participate in the study and have filled out the questionnaire fully between January and April 2022 while meeting the inclusion and exclusion criteria. A convenient sampling technique was used for data collection. The Chi-square test was used to test for association. Results: A total of 466 participants were included in the study. (94.6%) of the participants reported taking selfies, with varying frequencies, with Snapchat being the most commonly used application (82.5%). Moreover, 87.05% of the participants reported using filters, and 96.08% of those who use filters used them from Snapchat. 45.5% of the participants reported comparing their eyelids with others' when seeing their selfies, 50.6% reported thinking that taking a selfie has a role in making a decision to undergo blepharoplasty, and 47.6% reported thinking that using filters has a role in making a decision to undergo blepharoplasty. Conclusion: This study reflected a notably high rate of taking selfies and using photo filters. The participants' assessment toward the impact of taking selfies and using filters on the decision to undergo blepharoplasty was observed to be moderate. Females were observed to have significantly higher rates of thinking that taking pictures and using filters influence the decision to undergo blepharoplasty compared to males. Categories: Ophthalmology, Plastic Surgery Keywords: cosmetic surgeries, using photo filters, taking selfies, social media, blepharoplasty Introduction In recent years with the emergence of social media and the era of social networking programs, people tend to idealize their profiles, and one method of this idealization is to share the perfect picture, and in order to share that perfect picture, people often use filters to improve their profile appearance [1]. Social media platforms have become a very important medium for sharing ideal body images with others, and this is shown to have a negative effect on the self-image of users. Research showed that the use of social media platforms was related to an increase in the willingness of users to undergo an aesthetic surgical procedure [2,3]. A selfie, which is a very popular activity on social media platforms, is a photograph or an image that has been taken by oneself, usually using a cell phone, and shared with others, recent research found that the use of selfies rather than the general use of social media was more predictive of self-image dissatisfaction, which is a known risk factor for considering cosmetic surgery [4-6]. Selfies allow users to self-check their pictures and edit them to improve them until it reaches the ideal picture of themselves. This process leads to self-dissatisfaction, since users will notice the difference 1 2 3 4 3 5 6 Open Access Original Article DOI: 10.7759/cureus.30426 How to cite this article Dossari S K, Alkhars A Z, Albahrani M, et al. (October 18, 2022) Attitude and Perception Toward Taking Selfies and Using Filters and Their Relationship With Blepharoplasty. Cureus 14(10): e30426. DOI 10.7759/cureus.30426