An interesting overview of the impact which appearance anxiety can create upon an individual’s wellbeing. Studies estimate one third of individuals with a visible difference are thought to develop anxiety and stress as a consequence. Whilst the discussion surrounding this phenomenon is insightful, the author acknowledges that little clinical evidence is available to support the application of cognitive behavioural therapy (CBT) in the context of appearance anxiety. In spite of this, the author maintains that CBT-based approaches are being effectively utilised in some inpatient, outpatient and community settings but does not discuss how the impact of these are measured or which models are in place. This brief introduction may prove useful for non-surgical aesthetic clinicians to gain insight into appearance anxiety. An integrative model is suggested that demonstrates how CBT can support aesthetic patients who may be experiencing appearance anxiety. In addition this article is helpful in describing some common symptoms experienced by affected individuals, particularly those perceived to hold negative self-evaluative beliefs about their appearance.