Summary: Study reveals after healing, minor facial scars have little to no effect on ratings of attractiveness. In fact, some facial scars may be considered to make a person appear more attractive to others.
Source: Wolters Kluwer Health
After healing, minor facial scars have little or no effect on ratings of attractiveness – while some scars are even linked to more favorable ratings, suggests a survey study in the December issue of Plastic and Reconstructive Surgery.
“Contrary to our predictions, we found that a single well-healed scar generally does not affect individuals’ first impressions of perceived attractiveness or confidence negatively and may even increase perceived friendliness,” according to the report by ASPS Member Surgeon Jesse A. Taylor, MD, and colleagues of University of Pennsylvania, Philadelphia.
In many locations and orientations, facial scars had no major impact on appearance
The researchers designed an online survey to test the “core tenets” of facial scar design, with the goal of identifying potentially modifiable factors that improve how facial scars are perceived. Dr. Taylor and colleagues digitally altered facial photographs by adding 14 unique scars in various locations and orientations.
Online participants rated 50 different faces in terms of confidence, friendliness, and attractiveness. Data analysis included nearly 89,000 ratings by 1,800 respondents.
On initial analysis, “the presence of a facial scar did not have a significant impact on attractiveness,” Dr. Taylor and coauthors write. Average ratings for attractiveness (on a 0-to-5 scale) were 4.25 for scarred faces and 4.26 for unscarred faces.
Ratings of confidence were not significantly different, while faces with scars were actually rated friendlier than their non-scarred counterparts.
In a further analysis, the researchers looked for possible interactions between key factors considered by plastic surgeons in evaluating facial scars.
“We predicted that scars closer to highly viewed structures of the face (i.e., upper lip and lower lid), scars aligned against resting facial tension lines, and scars in the middle of anatomic subunits of the face would be rated less favorably,” Dr. Taylor and colleagues write.
The results suggested some subtle interactions: for example, faces with scars located at the mid-lower eyelid were rated lower for attractiveness, confidence, and friendliness – but only if oriented perpendicular to facial tension lines.
In contrast, lower lid scars in the same location were actually rated more attractive, if oriented parallel rather than perpendicular to resting tension lines.
The researchers note that the effects on ratings were small – at most equal to “roughly two percent of the overall rating value.”
Research is positive news to patients concerned with facial scars
Minimizing the severity of scars, particularly on the face, is an important objective for plastic surgeons. Dr. Taylor and colleagues note the large industry for scar care is expected to surpass $34 billion in revenue by 2023.
Scar revision is the third most frequent type of reconstructive surgery procedure, performed in nearly 264,000 patients in 2020, according to ASPS statistics.
“Our faces are vital to our identities and bear a significant portion of the burden for self-expression,” Dr. Taylor and colleagues write.
“Yet the social consequences of well-healed facial scars are poorly understood.” The findings may be “surprising and perhaps welcome news” to patients concerned that facial scars or incisions may negatively affect their appearance or how others perceive them.
The study is the first systematic, large-scale investigation of several techniques surgeons may be able to use to hide facial scars.
The researchers note that the findings don’t alter the long-held fundamental principles of facial scar design, based on location, position in anatomic subunit, or orientation along facial tension lines.
However, Dr. Taylor and coauthors add, “Well-healed scars that even violate all three principles have minimal effects and likely would not benefit from scar revision.”
About this psychology research news
Original Research: Open access.
“Facial Scars: Do Position and Orientation Matter?” by Jesse A. Taylor et al. Plastic and Reconstructive Surgery
Facial Scars: Do Position and Orientation Matter?
This study tested the core tenets of how facial scars are perceived by characterizing layperson response to faces with scars. The authors predicted that scars closer to highly viewed structures of the face (i.e., upper lip and lower lid), scars aligned against resting facial tension lines, and scars in the middle of anatomical subunits of the face would be rated less favorably.
Volunteers aged 18 years and older from the United States were recruited through Amazon’s Mechanical Turk to complete a face rating survey. Scars were digitally added in different locations and orientations for a total of 14 unique scars added to each face. Each participant rated 50 different faces on confidence, friendliness, and attractiveness. Data were analyzed using linear mixed effects models.
A total of 88,850 ratings [82,990 scarred (93.4 percent)] for attractiveness, friendliness, and confidence were analyzed. In univariate linear mixed effects models, the presence of a facial scar did not significantly impact attractiveness (β = 0.016, SE = 0.014, z = 1.089, p = 0.276). A second set of linear mixed effects models identified interactions between location, subunit placement, and orientation to facial tension lines. Scars located on the lower lid mid subunit perpendicular to facial tension lines were rated less attractive (β = −0.065, SE = 0.028, z = −2.293, p = 0.022).
On average, a single well-healed facial scar does not negatively affect first impressions of attractiveness, confidence, or friendliness. Specific scar location and orientation combinations, however, such as a perpendicular scar at the mid-lower eyelid, may result in lower perceived attractiveness, confidence, and friendliness.