Purpose: This study was conducted in order to describe the process of appearance management with esthetic treatment and for development of a substantive theory that explains lifestyle in female college students. Methods: The participants were seven students who had undergone a surgical procedure with LASEK, cosmetic, and wearing orthodontic brackets. Data were collected through face-to-face interviews and analyzed using grounded theory in Strauss and Corbin (1998) . Results: The core category,

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... discovering factors of social opportunities' incorporated the relationship between and among all categories and explained the process. Theses processes were categorized acording to four stages: 'facing appearance stress', 'screening medical information', 'applying esthetic treatment', and 'restoring self-confidence'. Conclusion: The findings of this study indicate an understanding and profound insight on the issue of psycho-social health promotion in young female.