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This parenthetical claim misattributes a BDD suicide statistic to people who had cosmetic surgery.

What the 45× number actually refers to:

• The paper "Suicidality in body dysmorphic disorder: a prospective study" followed 185 subjects with body dysmorphic disorder (BDD) for up to 4 years. Its abstract states that, after adjustment, the completed suicide rate was approximately 45 times higher than in the general population. In other words, the 45× figure is about BDD patients, not about everyone in a "cosmetic-surgery cluster."

Why that matters:

• A systematic review/meta-analysis of plastic-surgery patients found that about 15.04% of plastic-surgery patients had BDD. That means BDD is important in this population, but it is not equivalent to all cosmetic-surgery patients; applying a BDD-specific 45× figure to all people who have had cosmetic surgery is an overgeneralization.

What cosmetic-surgery suicide research actually reports:

• In a review of epidemiologic studies on cosmetic breast implants, the suicide rate was reported as approximately twice the expected rate based on the general population, and the review notes that the largest study found no difference versus women who underwent other forms of cosmetic surgery.
• Another systematic review on cosmetic breast augmentation identified a 2-3 times increased suicide risk, again far below 45× and limited to a specific subgroup rather than all cosmetic-surgery patients.

So the post's "45 times" claim is inaccurate because it takes a statistic from BDD patients and presents it as if it were a statistic for people who have had cosmetic surgery in general.