RSS-Feed abonnieren
DOI: 10.1055/a-2398-9805
From Filters to Scalpels—Understanding Perceptions of Facial Asymmetry: An AAFPRS Survey

Abstract
Facial asymmetries can significantly affect patient satisfaction post-surgery. Social media can impact a patient's perception of their asymmetries. To gather insights into the practices, perceptions, and approaches concerning facial asymmetry among facial plastic surgeons. The aim of this study was to understand the impact of social media on perceptions of facial asymmetry. This is an American Academy of Facial Plastic and Reconstructive Surgeons (AAFPRS) survey consisting of 46 questions that sought to understand facial plastic surgeons' perceptions of facial asymmetry, their consultation process, their patients' perspectives on their own facial asymmetries, and patient satisfaction. The survey was distributed to 1,269 members of AAFPRS across community hospitals, private practices, and academic hospitals. Sixty-seven members completed the survey. The survey revealed that 31% (21) of surgeons face challenges in managing patient expectations regarding facial asymmetry. In addition, 12% (8) of surgeons felt that patients did not initially recognize their own asymmetries. Eighty-seven percent (58) of surgeons emphasize the natural occurrence of asymmetry during consultations to set realistic expectations. This study emphasizes the need for thorough patient education during initial consultations to align expectations with achievable outcomes. Surgeons should explain the natural occurrence of asymmetry clearly and use digital imaging to show patients realistic previews of surgical results.
Keywords
facial asymmetry - facial plastic surgery - surgical outcomes - cosmetic enhancement - surgical planning - patient satisfactionPrevious Presentation
This research was presented at the AAFPRS annual conference in New Orleans, LA between October 22 and 27, 2024.
Data Access, Responsibility, and Analysis
K.A. and X.C. had full access to the data and take full responsibility for the accuracy of the integrity of the data and accuracy of the data analysis.
Data Sharing Statement
The authors agree to share the data from our survey.
Authors' Contributions
K.A., J.F., and K.P. conceptualized the manuscript topic. K.A. and K.P. conducted data curation and generated the methodology. J.F. validated question content and methodology. K.A. and X.C. conducted the formal analysis. K.A. and J.F. conducted the survey through the AAFPRS. K.P. and J.F. validated study protocols, results, and data. K.A. and X.C. drafted the manuscript. K.P., J.F., X.C., and K.A. revised the manuscript.
* Indicates equal co-authorship.
Publikationsverlauf
Accepted Manuscript online:
21. August 2024
Artikel online veröffentlicht:
23. September 2024
© 2024. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Cutler VJ. The science and psychology of beauty. In: Rieder EA, Fried RG. eds. Essential Psychiatry for the Aesthetic Practitioner. Hoboken, NJ:: Wiley Blackwell; 2021: 22-33
- 2 Zaidel DW, Hessamian M. Asymmetry and symmetry in the beauty of human faces. Symmetry (Basel) 2010; 2 (01) 136-149
- 3 Dhir K, Lawson W, Binder WJ. Zonal analysis of facial asymmetry and its clinical significance in facial plastic surgery. JAMA Facial Plast Surg 2013; 15 (02) 110-112
- 4 Sözen T, Dizdar D, Göksel A. Awareness of facial asymmetry and its impact on postoperative satisfaction of rhinoplasty patient. Aesthetic Plast Surg 2021; 45: 214-220
- 5 Chu EA, Farrag TY, Ishii LE, Byrne PJ. Threshold of visual perception of facial asymmetry in a facial paralysis model. Arch Facial Plast Surg 2011; 13 (01) 14-19
- 6 Weiss S, Grewe CM, Olderbak S, Goecke B, Kaltwasser L, Hildebrandt A. Symmetric or not? A holistic approach to the measurement of fluctuating asymmetry from facial photographs. Pers Individ Dif 2020; 166: 110137
- 7 Perrett DI, Burt DM, Penton-Voak IS, Lee KJ, Rowland DA, Edwards R. Symmetry and human facial attractiveness. Evol Hum Behav 1999; 20 (05) 295-307
- 8 Rohrich RJ, Villanueva NL, Small KH, Pezeshk RA. Implications of facial asymmetry in rhinoplasty. Plast Reconstr Surg 2017; 140 (03) 510-516
- 9 Andrade NN, Mathai P, Aggarwal N. Facial asymmetry. In: Bonanthaya K, Panneerselvam E, Manuel S, Kumar VV, Rai A. eds. Oral and Maxillofacial Surgery for the Clinician. Singapore:: Springer;; 2021: 1549-1576
- 10 Dasdar S, Kianfar N, Sadeghi M, Saedi B. The impact of facial asymmetry on the surgical outcome of crooked nose: a case control study. Aesthet Surg J 2020; 41 (06) NP284-NP294
- 11 Berssenbrügge P, Berlin NF, Kebeck G. et al. 2D and 3D analysis methods of facial asymmetry in comparison. J Craniomaxillofac Surg 2014; 42 (06) e327-e334
- 12 Akhil G, Kumar KPS, Raja S, Janardhanan K. Three-dimensional assessment of facial asymmetry: a systematic review. J Pharm Bioallied Sci 2015; 7 (Suppl. 02) S433-S437
- 13 Iyer J, Hariharan A, Cao UMN, Tran SD. Acquired facial, maxillofacial, and oral asymmetries—a review highlighting diagnosis and management. Symmetry (Basel) 2021; 13 (09) 1661
- 14 Hewitt A. A radiographic study of facial asymmetry. Br J Orthod 1975; 2 (01) 37-40
- 15 Blasi A, Nucera R, Ronsivalle V, Candida E, Grippaudo C. Asymmetry index for the photogrammetric assessment of facial asymmetry. Am J Orthod Dentofacial Orthop 2022; 162 (03) 394-402
- 16 @dr.keonparsa. #tiktokfilter #goldenratio #facialanalysis #beauty #symmetricalface #facialplastics. In: @dr.keonparsa, editor. #tiktokfilter #goldenratio #facialanalysis #beauty #symmetricalface #facialplastics: TikTok; 2023
- 17 @2022bby. I still love it though ? #invertedface #invertedfilter #facedysmorphia #facesymmetrycheck #symmetricalface #beautystandard #trythisout #fyp #relatable. In: @2022bby, editor.: TikTok; 2023
- 18 Özgür E, Muluk NB, Cingi C. Is selfie a new cause of increasing rhinoplasties?. Facial Plast Surg 2017; 33 (04) 423-427
- 19 Wang TT, Wessels L, Hussain G, Merten S. Discriminative thresholds in facial asymmetry: a review of the literature. Aesthet Surg J 2017; 37 (04) 375-385
- 20 Starks C, Akkera M, Shalaby M. et al. Evaluation of YouTube videos as a patient education source for novel surgical techniques in thyroid surgery. Gland Surg 2021; 10 (02) 697-705
- 21 Schmidt RS, Shi LL, Sethna A. Use of streaming media (YouTube) as an educational tool for surgeons-a survey of AAFPRS members. JAMA Facial Plast Surg 2016; 18 (03) 230-231
- 22 Sidoti OG-W. Risa; Faverio, Michelle; Atske, Sara; Radde, Kaitlyn; Park, Eugenie. Social Media Fact Sheet. Pew Research Center. Accessed May 14, 2024 at: https://www.pewresearch.org/internet/fact-sheet/social-media/
- 23 Taha M, AlZubaidi HAA, Alkhairy IH. et al. The influence of social media on the decision of rhinoplasty among adults in the Western and Southern regions of Saudi Arabia: a comparative cross-sectional study. Cureus 2023; 15 (06) e40137