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      Aesthetic Delusions: An Investigation into the Role of Rapid Visual Adaptation in Aesthetic Practice

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          Abstract

          Background

          To date, the process of adaptation in the setting of aesthetic medicine has not been investigated. The combination of complex advanced feedback in the current intense social media milieu, in conjunction with easily accessible and effective aesthetic treatments, has produced pockets of overtreated patients and over-zealous practitioners. We examine whether aesthetic assessments of attractiveness and what appears natural can be distorted by the cognitive process of adaptation.

          Methods

          Forty-eight female participants were exposed to photographs of female faces in whom lip fullness had been strongly under- or over-exaggerated, while remaining within the bounds of natural appearing lips. Before and after evaluation of the exaggerated images, participants were asked to rate an alternative set of faces in terms of attractiveness (reflecting direct assessment of effective beauty impression) and naturalness (reflecting indirect assessment of beauty norms). The evaluation set consisted of six base faces that had been digitally altered to create a systematically varying 11 step set of lip sizes from extremely thin, to the original version, to very full.

          Results

          Second-order polynomial fits indicated clear shifts of the subjects’ facial aesthetic assessments towards the specific lip fullness of the adaptors. In contrast, such adaptions were not found for ratings of face naturalness. In contrast to research demonstrating mathematical foundations and unchanging rules governing perceptions of beauty, we show that simple viewing of exaggerated feature morphologies can rapidly result in recalibration of a person’s assessment of attractiveness.

          Conclusion

          This paper provides evidence that facial attractiveness is fluid, and that there are psychological mechanisms that cause an aesthetic bias. Over-exposure to exaggerated features can lead to significant changes to a person’s ideas of attractiveness.

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          Most cited references30

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          Fitting Linear Mixed-Effects Models Usinglme4

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            Kurzversion des Big Five Inventory (BFI-K):

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              Darwinian aesthetics: sexual selection and the biology of beauty.

              Current theoretical and empirical findings suggest that mate preferences are mainly cued on visual, vocal and chemical cues that reveal health including developmental health. Beautiful and irresistible features have evolved numerous times in plants and animals due to sexual selection, and such preferences and beauty standards provide evidence for the claim that human beauty and obsession with bodily beauty are mirrored in analogous traits and tendencies throughout the plant and animal kingdoms. Human beauty standards reflect our evolutionary distant and recent past and emphasize the role of health assessment in mate choice as reflected by analyses of the attractiveness of visual characters of the face and the body, but also of vocal and olfactory signals. Although beauty standards may vary between cultures and between times, we show in this review that the underlying selection pressures, which shaped the standards, are the same. Moreover we show that it is not the content of the standards that show evidence of convergence--it is the rules or how we construct beauty ideals that have universalities across cultures. These findings have implications for medical, social and biological sciences.
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                Author and article information

                Journal
                Clin Cosmet Investig Dermatol
                Clin Cosmet Investig Dermatol
                ccid
                ccid
                Clinical, Cosmetic and Investigational Dermatology
                Dove
                1178-7015
                26 August 2021
                2021
                : 14
                : 1079-1087
                Affiliations
                [1 ]European Medical Aesthetics , London, UK
                [2 ]Oxford AI Ltd , Oxford, UK
                [3 ]Swinburne University of Technology , Melbourne, Australia
                [4 ]Division of Surgery & Interventional Science, Faculty of Medical Sciences, University College London , London, UK
                [5 ]Department of Plastic Surgery, Royal Free Hospital , London, UK
                [6 ]Cosmetic Laser Dermatology , San Diego, CA, USA
                [7 ]University of California , San Diego, CA, USA
                [8 ]Department of General Psychology and Methodology, University of Bamberg , Bamberg, Germany
                [9 ]Research Group EPÆG (Ergonomics, Psychological Æsthetics, Gestalt) , Bamberg, Germany
                Author notes
                Correspondence: Kate Goldie Clinic 77 Ltd , Harley Street, London, W1G 9QD, UKTel +44 7760629259 Email kate@medicsdirect.com
                Author information
                http://orcid.org/0000-0001-5689-1381
                http://orcid.org/0000-0002-3446-9347
                Article
                305976
                10.2147/CCID.S305976
                8424431
                c837a48b-1a54-40b5-85a7-2d79107dd367
                © 2021 Goldie et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 09 February 2021
                : 29 July 2021
                Page count
                Figures: 4, Tables: 2, References: 30, Pages: 9
                Funding
                Funded by: Merz Aesthetics;
                The authors wish to thank Merz Aesthetics for funding this collaborative cross-specialty research. The payment was only for conducting the study.
                Categories
                Original Research

                Dermatology
                aesthetic assessments,attractiveness,standards,norm,flexibility,adaptation,facial attractiveness

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