(662) From Filters to Fillers - The Impact of Social Media on Female Genital Self-Image and Sexual Self-Esteem

Introduction The growing influence of social media on body image has extended to more intimate aspects of physical self-perception, including female genital appearance. The normalization of curated, often surgically altered representations of vulvas across platforms like Instagram, TikTok, and OnlyFans may contribute to unrealistic beauty standards and dissatisfaction with genital appearance. These dynamics intersect with increasing interest in female genital cosmetic procedures (FGCP) and raise concerns about their impact on women’s sexual well-being. Objective This narrative review aims to explore how exposure to social media content may influence female genital self-image and sexual self-esteem, and to examine the potential role of digital aesthetics in motivating interest in FGCP. Methods A narrative review of the literature was conducted using PubMed, Scopus, and Google Scholar. Keywords included: “social media,” “female genital self-image,” “sexual self-esteem,” “vulva appearance,” and “genital cosmetic surgery.” Peer-reviewed studies published between 2010 and 2025 were included based on relevance to the impact of digital media on women’s perceptions of their intimate body image and sexuality. Results The review identified consistent associations between social media exposure and increased body dissatisfaction, genital self-consciousness, and interest in cosmetic interventions. Women exposed to idealized vulvar imagery reported lower satisfaction with their own genital appearance and greater openness to FGCP. Studies also suggest that genital self-image correlates with broader aspects of sexual self-esteem, sexual function, and relationship intimacy. Young women (aged 18–35) appear especially vulnerable to these influences, with some platforms promoting narrow definitions of genital “aesthetics” that contribute to internalized shame or anxiety. Conclusions Social media significantly shapes female genital self-perception with implications for sexual well-being and cosmetic decision-making. The visual culture of digital platforms risks pathologizing anatomical normality and promoting homogenized ideals. These findings underscore the need for greater public education about vulvar anatomy, more critical media literacy, and clinical awareness of the psychosocial factors driving FGCP demand. A multi-sectoral response, including healthcare providers, educators, and digital platforms, may help mitigate the negative effects of social media on women’s intimate self-perception and sexual well-being. Future studies should investigate the longitudinal effects of social media on genital self-perception and explore how healthcare providers can engage in counter-narratives to promote sexual self-acceptance. Disclosure No