Inter-sex, inter-age and inter-professional grading disparities
The concept of golden proportions being related to facial beauty is not new, and it is still proposed by some artists and sculptors as being a requirement of beauty [2]. Recently, a meta-analysis by Langlois et al. [12] published in the American Psychological Association found that facial attractiveness is a “variable” that is highly consistent between people’s judgements within and across cultures and thus established that irrespective of people’s ethnicity and cultural background, there is agreement about who is and is not attractive. This was also supported by Coetzee et al., who provided further evidence for strong cross-cultural agreement in facial aesthetics [13].
Previous investigations on facial aesthetics and the perception of beauty are extremely important; however, the subject requires modern evaluation due to the potential for changing perceptions over time. For example, female nudes from Renaissance art and sculpture would be considered potentially overweight by modern societal standards, but were appealing during their time, perhaps because a higher body mass was linked with wealth and high socioeconomic status.
Gender influence
We observed a difference between male and female grading of black professional models that was just significant (p < 0.05). This is consistent with the previous work performed by Broer et al. [14], which showed disagreement between male and female preference in lip and chin projections.
Profession influence
Nevertheless, discrepancy when rating facial characteristics was also just statistically significant (p < 0.05) between the results observed between orthodontists and students. This partly contradicts the work published by Broer et al. as in their study it was observed that male plastic surgeons in Brazil agreed with lay people regarding aesthetic perceptions [14]. It is worth mentioning that discrepancies were found between female plastic surgeons and laypeople in Brazil [14].
Age influence
After conducting this investigation, it was found that age is indeed a variable that appears to influence attractiveness judgement but this only just reached statistical significance (p < 0.05). A statistically significant disparity in the subjects’ grading behaviour was observed in the two groups compared: those younger than 45 and those who were 45 and above (p < 0.05).
Investigators have so far studied differences on the beholder’s age for facial characteristics preferences by comparing the preferences of infants or young children with adults, establishing that children as young as 3 months old can discriminate between unattractive and attractive faces [15, 16]. In 1992, Kolb et al. indicated similarities between the performance levels of 8 to 13-year-old children with adults with frontal lobe injury, in an expression matching task [17]. Consequently, scientists suggested that some frontal lobe regions implicated in this task may have not yet matured by this age [18]. This work has provided useful evidence for the presence of developmental factors in various aspects of face processing, since the frontal lobes are regions in the human brain which are subject to great modifications during development [18]. However, previous studies attributed frontal lobe under-development for difference in rating behaviour, whereas this difference in this study is also found in adults with fully matured and functional frontal lobe. Further research in this intriguing area of facial aesthetics and perception psychology will be significant to elucidate how the mind perceives beauty.
Various rating methods for beauty preference exist, including the traditional pair comparison method [19,20,21], where participants choose between two faces, as this is a lot easier than the rating method [22,23,24] which is more commonly used today, to measure facial attractiveness. For this study, we used the rating method as we were interested in older individuals’ perceptions. Furthermore, by using the rating method, we can further analyse our data as we will be able to identify the best rated images and the least rated images and analyse their differences in facial characteristics. In this way, we can identify proportions that are more appealing and compare them with the golden proportions. After conducting an in-depth literature review, we were not able to find information on how different adult age groups judge facial attractiveness, and for this reason, we decided to choose age groups that have not been studied before as there is the possibility of identifying important correlations in different age groups from the ones already studied.
All in all, attractiveness is a subjective measure and to date many variables have been identified that influence people’s perceptions. In our study, we discussed three main variables: gender, age and profession. It appears that all three play a role in perception of attractiveness. It is important, however, to note that these results have not taken into account that age may affect the profession, and vice versa. Further research, including all relevant factors such as age, ethnicity and cultural factors, should be performed to further explore the combined impact of all aforementioned parameters [14].
Disparities in best graded versus least well-graded photographs
This study examined the presence of disparities in best graded photographs in comparison with the least well-graded photographs, and we identified statistical differences in several of the facial characteristic ratios used for facial analysis. It is worth mentioning that to date, there are no studies examining the presence of such disparities in black individuals. According to our findings, black males showed statistically significant differences in seven out of the 12 ratios used for facial analysis (interalae/interdacryon, interalae/nose width, intercheilion/interdacryon, intercheilion/interalea, forehead height/intereye-interalae, forehead height/stomion-soft menton, intereye-interalae/interalae-stomion). In black females, significant differences were present in just three out of the 12 ratios (forehead height/intereye-interalae, forehead height/stomion-soft menton, intereye-interalae/interalae-stomion). Interestingly, the disparities observed in black females were present in black males, and therefore, we can conclude that there may be agreement for these ratios and perceived attractiveness, according to the people rating the photographs, regardless of the gender of the models. In other words, these three facial characteristics may partly determine attractiveness in both black males and black females.
Milutinovic et al. indicated the importance of an attractive smile as the single most important factor in an aesthetically pleasing face, for making a positive first impression [25]. The fact that females with a smaller face [25], as well as other features such as small chins [26] and noses [27] were perceived as more attractive, is also stated in the literature making it likely that attractiveness is affected by different facial features [25,26,27]. The literature also illustrates that feminine traits are perceived as more attractive by both males and females [27]. This study examined the presence of disparities in best graded photographs in comparison with the least well-graded photographs, and we identified statistical differences in several of the facial characteristic ratios used for facial analysis.
Further research should be undertaken to evaluate and further investigate these findings. Attractiveness is greatly appreciated by society, and this is partly because the media continuously project attractive people and therefore create the idea that attractiveness is seen as more socially acceptable [28]. As the facial proportions discussed in this article are a fundamental part of facial aesthetics, continuous research in this area is invaluable, making it possible for clinicians to advance the understanding of facial attractiveness, and exactly what are the parameters that make each face attractive. It is known that an aesthetically pleasing face is associated with greater confidence and self-esteem [29].
Comparison of facial ratios with the golden proportion
Despite the common perception that beauty is a subjective experience [4], it is relevant for one to have clear guidelines that gauge aesthetic facial surgery to provide a consistent and accurate result for each patient. Evidence-based guidelines are not currently used in practice. Previous investigations have studied the correlation between Ricketts’ facial ratios and the golden proportion, resulting in conflicting evidence regarding the topic [8,9,10]. To the best of the authors’ knowledge, this is the first study to examine this correlation of facial attractiveness and the golden proportion in a black population, as all studies that have been carried out were focused on Caucasian populations.
These results of discordance of facial rations with the golden proportion agree with some relevant literature. In one study, Brazilian women were initially evaluated according to their facial attractiveness and then compared with the golden proportion, and no correlation was found between perception of beauty and the golden proportion [30]. A more recent study investigating the same topic conducted by Rossetti et al. [31] also concluded that the attractive female and male facial ratios did not correlate with the golden proportion. These results also agree with research conducted on European male and female facial proportions by Bashour [32]. Therefore, there appears to be modern research suggesting that the golden proportion cannot be applied in aesthetic facial surgery to provide consistency of results both in Caucasian and black populations.
Our results contradict findings from previous literature that illustrated that attractive faces tend to conform with the golden ratio compared to non-attractive ones. The relationship between attractive female faces and the golden proportion has also been studied by Marquardt, who created an “ideal” mask, deriving from fashion models, using the golden ratio [33]. However, this has been found to be an inaccurate and biased method to predict attractiveness [34]. As illustrated by Holland, as there are so many facial ratios one is bound to find correlations amongst some ratios with the golden ratio, making it an inherently biased method of predicting attractiveness [34]. Medici et al. [6] used facial photographs, which were modified according to the golden ratio and then ranked by judges regarding their attractiveness. It was found that the photographs with ratios that were closer to the golden proportion tended to be perceived as more attractive; however, the participant size was relatively small (12 judges involved) so the results have low statistical power. Pancherz et al. [5] also evaluated facial photographs of professional models and compared them with non-professional facial photographs, concluding that facial ratios of professional models tend to be closer to the golden proportions than non-professionals. However, as well as low statistical power, these studies demonstrate that some authors identify ratios “close to” the golden proportion as positive evidence of a link between this ratio and facial beauty.
Proposal of ideal facial ratios
The results of this investigation demonstrate that the facial proportions of professional black models do not accurately fit the golden proportion. It is therefore relevant to identify whether any proportions are correlated with facial attractiveness, which may subsequently guide facial aesthetic surgery according to a specific guideline. Several other studies have tried to identify the ideal facial ratios to produce guidelines for future aesthetic surgery [25, 35], but these published studies only have a focus on the ideal facial shape in terms of height and width rather than identifying every individual ratio and its ideal range.
This study uniquely identifies that each facial ratio appears to be individualistic and needs to be treated separately from the others rather than attempting to find one proportion that will fit all. More specifically, the most attractive horizontal ratios found were as follows (p < 0.05): intertemporal/intercanthal 1.314 (1.115 to 1556), intercanthal/intercheilion 1.852 (1.583 to 2.089), interalae/interdacryon 1.099 (0.550 to 1.459), interalae/nose width 2.026 (1.33 to 3.174), intercheilion/interdacryon 1.479 (1.050 to 2.033) and intercheilion/interalaa 1.390 (1.188 to 1.909). The most attractive vertical ratios found were as follows (p < 0.05): forehead height/intereye-interalae 1.410 (0.811 to 2.222), forehead height/stomion-soft menton 1.346 (0.676 to 2.051), ala-soft menton/stomion-soft menton 1.699 (1.467 to 1.909), intereye-interalae/interalae-stomion 1.357 (0.912 to 2.139), intereye-soft menton/interalae-soft menton 1.540 (1.342 to 1.806) and intereye-soft menton/intereye-stomion 1.613 (1.458 to 1.864).
These findings may eventually help towards generating guidelines for aesthetic and reconstructive surgeons for patients of different ethnic backgrounds. It should be noted that most of the facial ratios evaluated in attractive male and female black subjects do not appear to conform to the golden proportion. It should also be emphasized that the results of one study are not enough to claim findings of new proportional canons—further investigation and dispassionate analysis will be required.
Limitations
The use of a mean to generalize an ideal ratio also may be considered a limitation, as the harmony of proportions may be more important than strict, hard-ruled ratios, and should be tailored to each individual patient. Further research to consolidate the validity of the proposed ratios found in this study should be undertaken. This can be done through performing a similar methodology to a wider set of pictures or through modifying pictures according to these ratios and inviting participants to grade them before and after the modification. The data in this study was based on 2D images. Furthermore, we have assumed that no digital manipulation of the images had been undertaken by the models or their agency. 3D imaging and/or adopting standardized medical photographic techniques could influence the results.