Perceptions of Attractiveness in Dorsal Aesthetic Lines of the Nose: A Crowd Sourcing Analysis

Abstract

Background: Some surgeons have recently advocated for a fusiform pattern with a flare around the keystone area over the more traditional straight/curvilinear shape for the ideal shape of the nasal dorsal aesthetic lines (DALs). Objective: To compare the lay persons judgment of what constitutes an ideal nasal dorsum outline. Methods: An observational crowdsourcing survey-based study was designed and conducted by the authors to determine how the public viewed these two nasal dorsum aesthetic configurations. In total, 1034 surveys comparing various altered images with these variants were analyzed. Results: Our crowd-based cohort preferences for DALs favored as more attractive, the traditional concept of paired straight or curvilinear lines sweeping gently from the glabella to the nasal tip. The fusiform nose was seen as more natural. Conclusion: Our study suggests that individuals may view a straight/curvilinear nasal dorsum as a more attractive result, whereas a fusiform nasal dorsum may be viewed as a more natural result.