Socially Transformative Aesthetics: Real-World Evidence of Positive First Impressions After Pan-Facial Aesthetic Treatments

Abstract Background Minimally invasive, pan-facial aesthetic treatments rejuvenate and improve facial appearance and may impact social interactions and perceptions. Objectives This observational pilot study used video recordings and in-person evaluations to assess social perceptions of participants before and after pan-facial treatment. Methods Adults receiving pan-facial injectable treatments (ie, onabotulinumtoxinA [Botox Cosmetic, Allergan Aesthetics, Westport, Ireland], hyaluronic acid fillers [Juvéderm; Allergan Aesthetics, Irvine, California], or both) were invited to participate. Three measures were developed to assess perceptions of attractiveness, approachability, naturalness, trustworthiness, healthiness, and age from nonclinical observer, patient participant, and clinician perspectives: the Pan-Facial Treatment Outcome Survey, the Participant Perception of Appearance, and the Clinician Perception of Appearance. Results Twenty-seven participants received treatment and provided video recordings, with 16 videos (n = 8 participants) selected for the study; 298 individuals enrolled as nonclinical observers. Compared with baseline assessments, nonclinical observer–reported posttreatment scores were significantly higher for perceptions of attractiveness, approachability, naturalness, healthiness, and perceived age (all P values < .05). Posttreatment participant- and clinician-reported scores were significantly higher for the same domains as well as trustworthiness (all P values < .05). Compared with baseline, participants and the clinician perceived participants as younger compared to their actual age (3.6 years younger and 2.5 years younger, respectively), and nonclinical observers perceived participants as within 6 months of their actual age after pan-facial treatment. Conclusions Pan-facial treatments may positively impact social perceptions and self-assessments of facial appearance. These benefits extend beyond physical appearance, including improving overall social interactions and personal well-being. Level of Evidence: 5 (Therapeutic) For image description, please refer to the figure legend and surrounding text.