This study aims at investigating the factors that determine the continuous intention to use smartwatches, one of the most prevalent types of wearable devices. The study extends the expectation confirmation model (ECM) by incorporating other variables (i.e., construct) which capture the unique context of smartwatches continuous usage, namely healthology, perceived aesthetics, habit, and social influence. Hypotheses were assessed using partial least square structural equation modeling (PLS-SEM) approach on data collected from 287 actual smartwatch users. The results reveal that performance expectancy, satisfaction, healthtology, perceived aesthetics and habit significantly influence the continuous usage of smartwatches, while social influence is non-significant. The research model of this study explains 65.7% of the variance in the continuous usage intention of smartwatches. The insights provided by this study suggest fruitful opportunities for future research. They can also help smartwatches companies, developers and marketers with strategies and directions for further development and growth by ensuring users’ continuous usage of smartwatches.