In body image research, people’s engagement in appearance-related behaviors are usually problematized as a sign of body image concerns or a (too) strong emphasis on physical appearance. This chapter, however, explores whether appearance-related practices are always “bad”, or if they can also be associated with healthy outcomes and positive body image. Using different theoretical frameworks, we discuss the complex nature of appearance-related practices and propose that describing them as solely bad and related to negative body image may be too simplistic. Based on a review of the existing literature, we highlight three ways in which appearance-related practices may be connected to a positive body image, or increased body satisfaction: a) appearance-related practices to project one’s sense of identity and personal style, b) appearance-related practices as expressions of self-care, and c) the positive feedback loop between appearance-related practices, approximating body ideals, and increased body satisfaction. Although the literature is scarce, we conclude that appearance-related practices can be part of a positive body image. Still, we need not to forget that most appearance-related practices are conditioned by constraining norms which makes us question whether appearance-related practices can really be an autonomous choice, whether they are empowering or disempowering, and for whom.