Background: This study aims to investigate the role of body image concern, sexual body image, and sexual self-esteem in the happiness of women seeking rhinoplasty surgery. Methods: This study had a descriptive correlational design. Cases were defined as subjects who presented to beauty centers in Tehran. A convenience sample of 65 women participated. Each woman completed Oxford Happiness Inventory (OHI), Body Image Concern Inventory (BICI), Body Exposure during Sexual Activities Questionnaire (BESAQ), and Sexual Self-Esteem Index for Woman-Short Form (SSEI-W-SF). The data were analyzed with Pearson correlation coefficient and stepwise regression. Results: The results showed that that there is a significant relationship between happiness with body image concern, sexual body image, and sexual self-esteem of people seeking rhinoplasty surgery (P < 0.05). Body image concern and sexual body image could predict 23% of the variance of happiness (P < 0.05). Conclusions: A lower rate of body image concern predicts higher happiness in women seeking rhinoplasty surgery. Level of Evidence: Level IV, risk/prognostic study. © 2017, Springer-Verlag GmbH Germany, part of Springer Nature.