2017-18 HSC Section 4 Green Book

Original Investigation Research

Facial Rejuvenation Surgery

Table 2. Ratings for Patients Undergoing Face-lift

Rating

P Value

Patients

Preoperative

Postoperative

Net Rating Change

All Patients (N = 22) Aggressiveness

4.30 3.93 3.99 3.76 3.98 4.05 3.56 3.82 4.15 4.24 4.47 3.82 4.24 4.44 3.26 3.63 4.14 4.03 4.21 3.83 4.25 4.26 3.84 4.23 3.63 4.81 5.22 4.00 5.27 5.15 3.93 4.70

3.98 4.20 4.45 3.91 4.53 4.39 4.22 4.67 4.65 4.84 4.55 4.30 4.90 4.65 4.16 4.80 3.86 4.28 4.62 3.94 4.67 4.51 4.25 4.70 3.40 4.84 5.44 4.29 5.48 5.00 4.60 5.16

−0.28

.09 .12 .01 .37 .02 .08 .01 .02 .59 .95 .36 .45 .43 .62 .09 .22

Extroversion Likeability Risk seeking Social skills

0.25 0.41 0.11 0.42 0.25 0.41 0.47 0.23 0.03 0.22 0.29 0.21

Trustworthiness Attractiveness

Femininity

Patient in Figure 2 Aggressiveness

Extroversion Likeability Risk seeking Social skills

Trustworthiness Attractiveness

–0.15

0.67 0.46

Femininity

Table 3. Ratings for Patients Undergoing Lower Blepharoplasty

Rating

P Value

Patients

Preoperative

Postoperative

Net Rating Change

All Patients (N = 13) Aggressiveness

−0.32

.23 .27 .04 .38 .03 .10

Extroversion Likeability Risk seeking Social skills

0.27 0.46 0.15 0.55 0.34 0.66 0.85 0.50 0.60 0.08 0.48 0.66 0.21 0.90 1.17

Trustworthiness Attractiveness

<.01 <.01

Femininity

Patient in Figure 3 Aggressiveness

.10 .01 .77 .08

Extroversion Likeability Risk seeking Social skills

<.01

Trustworthiness Attractiveness

.43

<.01 <.01

Femininity

picture. 20,21 We attempt tobroaden thediscussionabout beauty byexaminingthemorenuancedchangesinfacialpersonalitypro- filingthatoccurwhenapatientundergoesasurgicalintervention. In our sample of 30white female patients undergoing facial re- juvenationsurgery,thetraitsoflikeability,socialskills,attractive- ness,andfemininitywereallfavorablyaffected.Changesinscores for trustworthiness also approached significance. The eyes andmouthhave been identified as key triggers for the emotional response and judgment of an observer. 14,18,21 For example,thecornerofthemouthisthediagnosticregionforboth

Discussion Attractiveness is a complexphenomenon that has been studied by social scientists formanyyears. It has beendefined to include acombinationofperceivedintelligence,knowledge,morality,like- ability, anddesirabilityas either a friendorphysical partner. 5,18,19 Todate, the conversation about attractiveness as it relates to fa- cial rejuvenation surgery has focused primarily on the trait of youthfulness, which is only one element of a much larger

(Reprinted) JAMA Facial Plastic Surgery May/June 2015 Volume 17, Number 3

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