People worldwide use risky, potentially harmful cosmetic procedures to change their appearance. The newly developed Risky Appearance Altering Behaviours Inventory (RAABI) measures interest and engagement in appearance-altering behaviours, including surgical and non-surgical cosmetic procedures, diet pills, skin bleaching and hair straightening. RAABI items were constructed based on focus groups across diverse cultural contexts. Using exploratory factor analysis (EFA), confirmatory factor analysi