The Nose Influences Visual and Personality Perception

Schijndel, Olaf van; Tasman, Abel‐Jan; Litschel, Ralph

doi:10.1055/s-0035-1565009

Cited by 14 publications

(9 citation statements)

References 22 publications

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“…4 The centrality of its location is known to draw unconscious attention to an individual's nose. 5 A profile with a nose that is not straight receives more attention 6,7 and this potential to attract such negative attention alters the perception of an individual. 6,8,9 The associated stigma places such individuals at a disadvantage and affects their interaction with society.…”

mentioning

confidence: 99%

“…5 A profile with a nose that is not straight receives more attention 6,7 and this potential to attract such negative attention alters the perception of an individual. 6,8,9 The associated stigma places such individuals at a disadvantage and affects their interaction with society. 10 In supporting evidence for this stigma, a recent study by Nellis et al, 9 the first to quantify the effect of rhinoplasty on social perceptions, showed that people undergoing rhinoplasty derive a multifaceted benefit in their social interaction.…”

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confidence: 99%

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Association of Dorsal Reduction and Tip Rotation With Social Perception

Kandathil

Saltychev

Moubayed

et al. 2018

JAMA Facial Plast Surg

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Social perception by laypersons of people who have undergone rhinoplasty primarily for cosmetic purposes has not been fully described. OBJECTIVE To evaluate the social perception of patients who have undergone cosmetic rhinoplasty. DESIGN, SETTING, AND PARTICIPANTS Preoperative images of 4 patients with dorsal hump and tip ptosis were selected using the Delphi method. Computer simulations of dorsal hump reduction and tip rotation, alone or in combination, were performed. Using the Qualtrics internet-based survey platform, laypersons blinded to the purpose of the study viewed randomized original and simulated images and estimated the age, approachability, perceived success, overall health, intelligence, and rated their attractiveness on a visual analog scale from 0 to 100. MAIN OUTCOMES AND MEASURES Comparison of responses (mean [SD] score) for each of the 3 types of simulated image against the original image employing a pairwise comparison of means (Dunnett test). RESULTS After excluding 27 (4%) invalid responses, a total of 813 respondents (593 women and 220 men) were included in the study. The mean (SD) age was 44.6 (16.2) years. A total of 628 (77%) respondents were white and the observed highest level of education was a bachelor's degree (193 [24%]) or having attended college but without a diploma (194 [24%]). A significant age reduction (31 [10] years; 95% CI, −2.5 to 0; P = .04) and an increase in approachability (64 [22]; 95% CI, 0.7-5.8; P = .009), attractiveness (60 [22]; 95% CI, 4.0-9.4; P < .001), and health (70 [19]; 95% CI, 0.7-5.2; P = .006) for the simulation involving hump reduction was observed. When combined simulation of dorsum and tip rotation were tested, only significant increases in attractiveness (60 [23]; 95% CI, 3.6-9.0; P < .001) and health (69 [19]; 95% CI, 0.1-4.6; P = .03) were seen. No significant association was found for any of the responses when the tip alone was rotated. The Wilks λ varied slightly below 1.0 showing significant P values (P < .05) for all variance and covariance (respondent particulars). CONCLUSIONS AND RELEVANCE Though rhinoplasty procedures for nasal cosmesis involving both the nasal dorsum and tip were perceived to make a person more attractive and healthier, these results suggest that manipulation of the dorsum is more strongly associated with perception of the nose. LEVEL OF EVIDENCE NA.

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confidence: 99%

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confidence: 99%

Association of Dorsal Reduction and Tip Rotation With Social Perception

Kandathil

Saltychev

Moubayed

et al. 2018

JAMA Facial Plast Surg

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“…Eligibility Criteria. The following inclusion criteria were employed for this review: (1) randomized clinical trials (RCTs); (2) analytical studies; (3) observational studies; (4) studies on human, healthy subjects; (5) studies published in English.…”

Section: Methodsmentioning

confidence: 99%

“…The nose is the most prominent element of the face, influencing facial appearance and profile [1][2][3][4][5]. According to the study by Ghorbanyjavadpour and Rakhshan [6], there are some factors associated with the esthetics of the soft-tissue profile, also associated with the nose, such as less prominent noses with higher tips and subnasales anterior to the upper lip.…”

Section: Introductionmentioning

confidence: 99%

Methods of Analysis of the Nasal Profile: A Systematic Review with Meta-analysis

Jankowska

Janiszewska‐Olszowska

Jedliński

et al. 2021

BioMed Research International

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The nose is the most prominent structure of the face, influencing facial appearance and profile. Orthodontists have an awareness of facial structures, including nasal morphology, when diagnosing and treatment planning. Maxillofacial surgeons influence facial profile by bimaxillary surgery, improving facial aesthetics and harmony. The aim of this review was to summarize the available methods of analysing nasal morphology and profile, and to assess their complexity. A literature search was conducted in PubMed, Scopus, Web of Science, and Embase using the following search terms: “nasal profile analysis”, “nasolabial angle”, and “nasal profile cephalometric” in order to select studies providing knowledge on correlations between occlusion and nasal development, differences between skeletal classes, ethnic variability, and differences between the sexes. Studies concerning genetic disorders were excluded. Finally, 17 full-text papers were analysed, which pertained to nasolabial angle, or facial profile including the nose. Data concerning methods, ethnic group, reference landmarks used, and measurements made were extracted and placed in tables. Numerous methods of nasal profile analysis can be found in the literature. These methods describe various numbers of parameters, which have influence on facial aesthetic. Nasal parameters are correlated to skeletal class and nasolabial angle, positions of upper incisors, and maxillary inclination.

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“…Four male patient volunteers provided written informed consent for their preoperative photographs on lateral view to be used for research and publication purposes. The lateral view was chosen as it has previously been described as one of the most informative views for visual, personality, and gender expression perception for men . Using the Delphi method, 3 authors (S.P.M, B.N., and C.K.)…”

Section: Methodsmentioning

confidence: 99%

Social Perception of the Nasal Dorsal Contour in Male Rhinoplasty

Nuyen

Kandathil

Saltychev

et al. 2019

JAMA Facial Plast Surg

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The social perception of nasal dorsal modification for male rhinoplasty is poorly understood.OBJECTIVE To investigate the association of modifying the male nasal dorsum with the perception of such social attributes as youth, approachability, healthiness, masculinity/ femininity, intelligence, successfulness, and leadership.DESIGN, SETTING, AND PARTICIPANTS Using computer simulation software, 12 images with varied combinations of the nasal dorsal shape, nasofrontal angle (NFA), and nasolabial angle (NLA) were generated from a photograph of a male volunteer's face in profile. These photographs were then sent to participants at a university clinic who were English-speaking adult internet users who were masked to the purpose of the study, which asked them to value different social attributes regarding the face in the photograph in a 16-question survey. The study was conducted in September 2018 and the data were analyzed thereafter until March 2019.EXPOSURES Twelve photographs embedded in a 16-question survey. MAIN OUTCOMES AND MEASURESPopulation proportions of responses and χ 2 test and graphical analysis based on 95% confidence intervals. RESULTSOf 503 respondents (survey provision rate, 100%), 412 (81.9%) were women, 386 (76.7%) were white, 32 (6.4%) were Hispanic or Latinx, 63 (12.5%) were black/African American, 10 (2.0%) were Asian/Pacific Islander, and the median age was 46 years (interquartile range, 32-61 years). The man with ski slope-shaped nose with an NFA of 130°a nd NLA of 97°was often associated with frequently perceived positive characteristics; specifically, he was judged to be the most attractive (95% CI, 18%-26%; P < .001). Participants also often associated superlative youth (95% CI, 15%-24%; P < .001), approachability (95% CI, 13%-20%; P = .002), and femininity (95% CI, 14%-22%; P < .001) with dorsal contours that did not feature a dorsal hump. The man with a dorsal hump-shaped nose with an NFA of 140°and NLA of 105°was associated by the highest proportion of participants with being the oldest (95% CI, 35%-44%; P < .001), least approachable (95% CI, 27%-35%; P < .001), least attractive (95% CI, 37%-42%; P < .001), and least healthy (95% CI, 26%-34%; P < .001). Subset analyses also revealed statistically significant dorsal contour preferences by observers' age, gender, and race/ethnicity. CONCLUSIONS AND RELEVANCEA reduced dorsal slope combined with more acute NFAs and NLAs was associated with positively perceived social attributes. The results may be of interest to rhinoplasty surgeons and their male patients when planning changes to the nasal dorsal contour.LEVEL OF EVIDENCE NA.

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The Nose Influences Visual and Personality Perception

Cited by 14 publications

References 22 publications

Association of Dorsal Reduction and Tip Rotation With Social Perception

Association of Dorsal Reduction and Tip Rotation With Social Perception

Methods of Analysis of the Nasal Profile: A Systematic Review with Meta-analysis

Social Perception of the Nasal Dorsal Contour in Male Rhinoplasty

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