Abstract Objective To analyze the perception of older adults regarding their body image and self-esteem. Method A qualitative, exploratory, and descriptive study conducted with 28 older adults in the Social Assistance Reference Centers of Araucária, Paraná, Brazil. A structured interview with a questionnaire comprising 10 questions addressing feelings about aesthetics in aging and its repercussions on self-esteem was administered. Data analysis was performed using the IRAMUTEQ® software. Results The analysis of perception regarding aesthetics and self-esteem in aging resulted in 5 classes: Class 1 (19.8%) "Self-esteem vs. self-image", Class 2 (20.7%) "Feelings and sensations experienced", Class 3 (20.7%) "Aspects beyond appearance influencing self-esteem", Class 4 (18.1%) "Reasons for engaging in aesthetic care", and Class 5 (20.7%) "Types of interventions and aesthetic care". Elevated self-esteem was found in an economically vulnerable population. Many older adults reported changes in how they are treated with aging; however, this was not solely perceived negatively. Conclusion Despite societal promotion of a beauty standard, older adults can live satisfactorily with high self-esteem without being negatively influenced.