cosmetic surgery is spread around the world. Several factors are involved during this rapidly evolving field like socioeconomic development, changes in cultural norms, globalization and therefore the effects of Western culture, advertising, media, and mental disorders. Nowadays the face lift is becoming a profitable business, which deals exclusively with human appearance and fewer from the attitude of beauty supported physical protests and considering factors such as sex, age, and race. The morality of plastic surgery subspecialty has undergone many moral dilemmas in the past few years. The role of the patient no matter his unrealistic dreams has questionable ethical dimension. The problem is that the loss of human values and replacing them with false values, of pride and glory to a charismatic person of upper status, which will underlie some of the posed ethical dilemmas. Cosmetic surgery has huge difference with the overall principle of legal liability in professional orientation, because the target for cosmetic surgeries is different from common therapeutic purposes. To observe excellence within the medical community, we should always always confine mind that these service providers, often as a therapist must maintain a commitment and priority for patient safety and before any action, a true apply for this service recipient should be present. Also, patient–physician confidentiality is the cornerstone of medical ethics. In this review, we study the issues addressed and the ways that they can be resolved. Although plastic surgeries designed as elective procedures, they need long-term effects on body function and health, therefore the demands and expectations of the patient is extremely important. This ethical issue in surgical procedures such as massive liposuction with more surgical damages and complications are problematic assumptions. According to the principle of benefit, attention to the interests of the patient must always be considered. But in cosmetic surgery, the patient’s benefits are always a big moral dilemma. The principle of Non-maleficence, bans any acts against the interests of the patient and therefore, the unrealistic expectations of patients would have ethical problems. So in order to fulfill this principle, the patient expectations should be realistic, must measure the profit and loss of the patient, have to consider the medical condition of the patient, denote to the possibilities of resuscitation for the patient in the surgical center if necessary, and pay attention to the specialized facilities including equipments and personnel necessary for cosmetic surgeries