THE PSYCHOSOCIAL ASPECTS OF COSMETIC DERMATOLOGY in Visual Studio .NET

Generation QR Code in Visual Studio .NET THE PSYCHOSOCIAL ASPECTS OF COSMETIC DERMATOLOGY

CHAPTER 40 THE PSYCHOSOCIAL ASPECTS OF COSMETIC DERMATOLOGY
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indicating to the authors that functional asymmetry can occur within faces that are deemed beautiful Recently, in a different study, Zaidel and other colleagues found an association between symmetry and health, but not a strong relationship between symmetry and attractiveness32 The researchers concluded that facial symmetry may be a potent factor in conveying health but is not essential in communicating attractiveness If desired, asymmetric features can often be easily remedied by the adept cosmetic dermatologist or plastic surgeon, however (Fig 40-4) As implied above, facial symmetry is not the only important facial characteristic that factors into the human perception of a beautiful visage Baby faces in general trigger tender emotions in adults who find the soft skin and hair, large eyes and pupils, fat cheeks, and small noses irresistible33 Etcoff asserts that this is another useful adaptation since defenseless infants must arouse nurturing behavior from adults on whom they are dependent for sustenance These baby face facial features are often irresistible in adult faces as are slightly feminized faces In a cross-cultural study of Japanese and Scottish subjects, participants preferred feminized shapes for both female and male faces, which may indicate a selection pressure limiting sexual dimorphism and promoting neoteny34 In a recent study of 400 British men and women asked to judge pictures of male faces (excluding hair, ears, neck, shoulders, etc) digitally altered to appear more masculine or more feminine, women, on average, associated the more feminine faces with warmer, more faithful, and better parenting personalities, as well as better mate options35 This study appears to reinforce previous work by Rhodes et al as well as the above work by Perrett et al that found feminized faces to be preferred over average or masculinized faces36 The fact that babies and adults appear to find the same facial features attractive is compelling evidence pointing toward the biologic adaptation argument Anthropologists have contended that facial preferences for attractive traits may indeed be adaptations because such traits may indicate important qualities in the mate, such as health Does this mean that dermatologists and plastic surgeons should strive toward the universally admired geometric features If so, what are the implications for those patients whose features cannot quite meet the ideal If such universal standards exist, do they exert significant
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pressure on people to correct perceived imperfections Or is the race against time the primary motivator behind cosmetic procedures The popularity of the billion-dollar cosmetics and toiletries industry as well as that of cosmetic procedures suggests that the seemingly relentless barrage of beauty ideals can influence people across various demographic spectra The pervasiveness of media images of attractiveness has been shown, in fact, to exert a negative impact on women s self-perceptions, particularly the facial satisfaction levels of women who are already sensitive about their appearance37 Such media exposure certainly contributes to the continually escalating drive to alter one s appearance Further, the particular images held up as iconic examples of beauty, along with their ubiquity, may even negatively affect those already considered attractive In a study of 203 young women, researchers rated participants on facial attractiveness and obtained subjects self-reports on perfectionism, weight preoccupation, and neuroticism38 After controlling for body size and neurotic perfectionism, investigators found attractiveness and weight preoccupation to be positively related, suggesting that facial beauty may pose a risk for the development of eating disorders38 Obviously, some attractive people yearn and strive to be perceived as even more attractive It is important for the cosmetic dermatologist to be cognizant of this phenomenon because it is not unusual for patients to request a cosmetic procedure that is not only inappropriate for them but could actually do them harm An example of this is a young woman in the primary author s practice who wanted CO2 laser resurfacing for her 30th birthday This patient was counseled and treated with a topical retinoid that resolved the imperfection with much less risk
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