Objectives: To determine the respective weights of certain facial signs on the assessment of the perceived age and a tired-look on Korean men of different ages.Material and Methods: Photographs were taken of the faces of 101 Korean men (20-80 years) under standardized conditions. These photographs allowed to define 16 signs, which were then graded by 15 experts/dermatologists, using standardized scales provided by a referential Skin Aging Atlas. These signs were dispatched into 5 clusters, namely Wrinkles/Texture, Ptosis/Sagging, Cheek pores, Pigmentation, and Vascular signs. A naïve panel of 200 Korean individuals (100 women, 100 men), of similar age range, were asked, when viewing full-face photographs, to (a) attribute on a 0-10 scale their perception of a tired-look and (b) estimate the age of the subject.
Results:The severity of all clusters increased with age, although at different rates. The Wrinkles/Texture or Ptosis/Sagging showed a rather regular progression, whereas Vascular presented the weakest changes. Although perceived and real ages were found highly correlated, almost 85% of the subjects were judged older by 1-15 years. The signs/clusters were found significantly correlated with perceived age, highly for Wrinkles/Texture and Ptosis/Sagging, moderate for Pigmentation, and low for Vascular and Cheek pores. The weights in perceived ages of Wrinkles/Texture and Ptosis/Sagging represent 81% and Pigmentation at 19%. Facial tired-look of Korean men was found significantly correlated with perceived age. Although Vascular and Cheek pores were found not impacting, Wrinkles/Texture, Ptosis/Sagging, and Pigmentation presented a clear influence. Conclusion: Within facial clusters, Wrinkles/Texture, Ptosis/Sagging, and Pigmentation are major factors in the assessment of perceived age in Korean men. The perception of an increased tired-look is significantly associated with increased perceived age. K E Y W O R D S facial signs, Korean men, perceived age, skin aging atlas, tired-lookThe facial aging experienced by Asian men is scarcely documented, [1][2][3][4] especially in Korean subjects despite their vivid expectation for aesthetics, 5-9 in line with a boom of global grooming market in Asia. Hence, understanding the factors that drive the perception of appearance of men of different ethnicities [10][11][12] is essential to propose the most adapted cosmetic strategies to different desires or cultures. These factors primarily concern many facial signs or clusters (Wrinkles, Ptosis, Pigmentation signs, etc), the severity of which shows different rates of development along the aging process 3,11,12 at the individual level, conditioned by genetic, sun exposure, life style habits, etc. Such slow and progressive changes in the aspect of the human face obviously influence the spontaneous perception of age by "the others." This perceived age (PA) appears as a critical element since owning personal, social, psychosocial, or biological impacts [13][14][15][16][17] in most cultures, making humans appearing older or younge...