American Association of Plastic Surgeons

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The Impact of Juvederm on the Public's Perception of a Patient's Attractiveness and Personality Traits
Rachel Gray, BS., Stephen Lu, MD., Charles Thorne, MD., Neil Tanna, MD..
Division of Plastic Surgery at Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Hempstead, NY, USA.

Purpose:
Non-surgical facial rejuvenation is the most popular cosmetic procedure in the United States. However, the impact of these types of procedures on the public assessment of patients is unclear. This study evaluates the effect of a hyaluronic acid filler (Juvéderm) on the public perception of a patient's attractiveness and personality traits.
Methods:
A ten-item survey was created using five pre- and post-injection photos placed side by side, with the left photo randomized between pre- and post- in order to eliminate left/right bias. The remaining five items were two pre- or post-injection photos to serve as controls.
The survey was administered via crowd-sourcing. Each respondent was asked to discern which photo better represented 8 traits on a seven-point Likert scale. Respondents under the age of 18 or with a diagnosis of autism and schizophrenia were excluded. Demographics and responses were recorded and t-tests were used to evaluate significant differences between ratings for each trait.
Results:
There were 1029 responses received. Average scores across controls indicated significant left to right bias, with right sided photos rating higher for each trait. After controlling for left/right bias, aggressiveness rated significantly lower after Juvéderm for 5/5 females. Likeability and youthfulness were rated as significantly higher for 4/5 females and trustworthiness, confidence, attractiveness, friendliness, and intelligence were rated as higher for 3/5 females after Juvéderm.
Conclusions:
Non-surgical facial rejuvenation improves the public's perception of a person's appearance and personality.


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