Cosmetic Stature Lengthening: An Investigation Into Sociodemographic Determinants and Public Perceptions.

Abstract

Height is an important psychosocial indicator, with short stature linked to a poorer quality of life. This study investigates public perceptions and attitudes toward cosmetic stature lengthening, a surgical procedure designed to increase individuals' height without a standard necessity. Using a mixed-methods approach, an online general population sample was surveyed using a crowdsourcing platform (Prolific Academic), which facilitates demographically representative samples. Societal influences, personal attitudes, and awareness of the procedure were explored. Our quantitative analysis revealed a distinct demographic and psychological profile for individuals more inclined toward the procedure, with self-perception of being short, believing height threatens career progression, and being male as notable factors. The primary motivating factor in these individuals was the range of potential height increase, whereas the most common deterrents were potential complications and weight-bearing status. Qualitative findings highlighted themes of negativity toward the procedure, concerns about pain and recovery time, acceptance of personal physical appearance, and empathy toward height-related distress. These findings underscore the need for public education, policy considerations, and multidisciplinary patient evaluation processes for cosmetic stature lengthening. Future research should focus on the short- and long-term physical and psychosocial effects to contribute to evidence-based patient education and informed consent.