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Facial Plast Surg 2019; 35(03): 299-305
DOI: 10.1055/s-0039-1688798
Original Research
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Stretched Earlobe Piercings Negatively Impact Casual Observer Perceptions

Nicholas Fung 
1   School of Medicine, Johns Hopkins University, Baltimore, Maryland
,
Masaru Ishii
2   Department of Otolaryngology Head and Neck Surgery, Johns Hopkins Medical Institute, Baltimore, Maryland
,
Pauline Huynh
1   School of Medicine, Johns Hopkins University, Baltimore, Maryland
,
Michelle Juarez
1   School of Medicine, Johns Hopkins University, Baltimore, Maryland
,
Kristin Bater
1   School of Medicine, Johns Hopkins University, Baltimore, Maryland
,
Halley Darrach
1   School of Medicine, Johns Hopkins University, Baltimore, Maryland
,
Ira D. Papel
3   Department of Otolaryngology, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Theda Kontis
3   Department of Otolaryngology, Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Jason C. Nellis
2   Department of Otolaryngology Head and Neck Surgery, Johns Hopkins Medical Institute, Baltimore, Maryland
,
Lisa Ishii
4   Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland
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Publikationsdatum:
23. Mai 2019 (online)

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Abstract

Patients with stretched earlobes seek reconstruction to mitigate social stigma. To date, there have been no studies measuring the impact of stretched earlobe piercings on casual observer perceptions. One-hundred seventy-three casual observers were enrolled via public-access web sites. Participants were randomly shown frontal and profile views of six subjects with stretched earlobe piercings and four controls. Participants evaluated photos for first impressions using a survey containing choices regarding personal attributes. Latent class analysis was performed to categorize observer ratings. Analysis of variance (ANOVA), bootstrap analysis, and permutations testing were used to evaluate the relationship between perceived attractiveness, success, and approachability scoring and stretched earlobe status. Latent class analysis categorized responses into three classes: positive, negative, and neutral. Patients with stretched earlobe piercings were significantly less likely to be classified as positive by observers without body modifications (i.e., tattoos and piercings) in comparison to control photos (30.9 and 40.1%, p = 0.007) and more likely to be classified as negative (38.5 and 28.1%, p = 0.002). These changes were abolished when photos were evaluated by observers with body modifications (p > 0.05). ANOVA revealed that stretched earlobe piercings and observer body modification status have a significant effect on rated approachability (F [1,1726] = 4.08, p = 0.04) and successfulness (F[1,1726] = 9.67, p = 0.002; F [1,1726] = 70.33, p < 0.0005). No significance was found for rated attractiveness (p > 0.05). Patients with stretched earlobe piercings were more likely to be classified as having negative affect display and being less approachable and successful compared with controls when evaluated by observers without body modifications. This effect was abolished when photos were evaluated by observers with body modifications. These findings validate patient motivations for seeking stretched earlobe repair.

Keywords

stretched earlobe piercings - gauge piercings - homophily - social perception - reconstruction motivation
 

  • References

  • 1 Mayers LB, Judelson DA, Moriarty BW, Rundell KW. Prevalence of body art (body piercing and tattooing) in university undergraduates and incidence of medical complications. Mayo Clin Proc 2002; 77 (01) 29-34
    CrossrefPubMedGoogle Scholar
  • 2 Zeiderman MR, Kelishadi SS, Tutela JP, Chowdry S, Wilhelmi BJ. Double opposing perpendicular linear repair of gauge ear-piercing deformity: a new technique and literature review. Eplasty 2014; 14: e31 http://www.ncbi.nlm.nih.gov/pubmed/25328564 . Accessed May 27, 2018
    PubMedGoogle Scholar
  • 3 The American Society for Aesthetic Plastic Surgery. Cosmetic Surgery National Data Bank: Statistics; 2017 . Available at: https://www.surgery.org/media/statistics . Accessed May 22, 2018
    PubMed
  • 4 Collins J, Harvey J, Hilinski JM. Reconstructing the gauge earlobe defect. JAMA Facial Plast Surg 2015; 17 (02) 144-148
    CrossrefPubMedGoogle Scholar
  • 5 Martino S, Lester D. Perceptions of visible piercings: a pilot study. Psychol Rep 2011; 109 (03) 755-758
    CrossrefPubMedGoogle Scholar
  • 6 Johnson SC, Doi ML, Yamamoto LG. Adverse effects of tattoos and piercing on parent/patient confidence in health care providers. Clin Pediatr (Phila) 2016; 55 (10) 915-920
    CrossrefPubMedGoogle Scholar
  • 7 Pfeifer GM. Attitudes toward piercings and tattoos. Am J Nurs 2012; 112 (05) 15
    PubMedGoogle Scholar
  • 8 Linzer DA, Lewis JB. poLCA : an R package for polytomous variable latent class analysis. J Stat Softw 2011; 42 (10) 1-29
    PubMedGoogle Scholar
  • 9 Dempster AP, Laird NM, Rubin DB. Maximum likelihood from incomplete data via the EM algorithm. J R Stat Soc B 1977; 39: 1-38
    PubMedGoogle Scholar
  • 10 Ishii LE, Godoy A, Encarnacion CO, Byrne PJ, Boahene KDO, Ishii M. What faces reveal: impaired affect display in facial paralysis. Laryngoscope 2011; 121 (06) 1138-1143
    CrossrefPubMedGoogle Scholar
  • 11 Godoy A, Ishii M, Byrne PJ, Boahene KD, Encarnacion CO, Ishii LE. How facial lesions impact attractiveness and perception: differential effects of size and location. Laryngoscope 2011; 121 (12) 2542-2547
    CrossrefPubMedGoogle Scholar
  • 12 Godoy A, Ishii M, Dey J, Boahene KD, Byrne PJ, Ishii LE. Facial lesions negatively impact affect display. Otolaryngol Head Neck Surg 2013; 149 (03) 377-383
    CrossrefPubMedGoogle Scholar
  • 13 Brechwald WA, Prinstein MJ. Beyond homophily: a decade of advances in understanding peer influence processes. J Res Adolesc 2011; 21 (01) 166-179
    CrossrefPubMedGoogle Scholar
  • 14 Kandel DB. Similarity in real-life adolescent friendship pairs. J Pers Soc Psychol 1978; 36 (03) 306-312
    CrossrefPubMedGoogle Scholar
  • 15 Wu EX, Laeng B, Magnussen S. Through the eyes of the own-race bias: eye-tracking and pupillometry during face recognition. Soc Neurosci 2012; 7 (02) 202-216
    CrossrefPubMedGoogle Scholar
  • 16 Ishii L, Dey J, Boahene KD, Byrne PJ, Ishii M. The social distraction of facial paralysis: objective measurement of social attention using eye-tracking. Laryngoscope 2016; 126 (02) 334-339
    CrossrefPubMedGoogle Scholar
  • 17 Bater KL, Ishii M, Joseph A, Su P, Nellis J, Ishii LE. Perception of hair transplant for androgenetic alopecia. JAMA Facial Plast Surg 2016; 18 (06) 413-418
    CrossrefPubMedGoogle Scholar
  • 18 Nellis JC, Ishii M, Bater KL. , et al. Association of rhinoplasty with perceived attractiveness, success, and overall health. JAMA Facial Plast Surg 2018; 20 (02) 97-102
    CrossrefPubMedGoogle Scholar