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How Does the Public Perceive a Patient After Treatment With Minimally Invasive Cosmetics?

Gray, Rachel BS; Lu, Stephen M. MD, MDiv; Shafer, David MD

Plastic and Reconstructive Surgery - Global Open: August 2019 - Volume 7 - Issue 8S-1 - p 10
doi: 10.1097/01.GOX.0000584244.46460.08
Aesthetic Abstracts

Hofstra Northwell School of Medicine, New York, NY

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

PURPOSE: Minimally invasive cosmetic procedures are very popular with over 17 million procedures occurring in 2017.1 Botulinum toxin and injectable fillers are the 2 most popular procedures because they help patients achieve a younger, more attractive appearance. Numerous studies have indicated that patients and physicians alike are highly satisfied with the results of botulinum toxin and injectable fillers. However, it remains unclear how the public responds to individuals after they are treated with these procedures. This study intends to first identify if botulinum toxin and hyaluronic acid fillers impact the way the public perceives a patient and second measure the impact of the public’s change in perception by assessing if the public would behave differently toward a patient after treatment with botulinum toxin and hyaluronic acid fillers.

METHODS: A total of 40 patients were recruited for this Institutional Review Board–approved study. Eligible patients were over 18 years old and had not received any cosmetic procedures in the past year. Patients were divided into 2 treatment groups. One group received 1 syringe of Juvéderm applied to their lips, and the other group received 50 units of botulinum toxin applied to their glabella, forehead, and crows feet. Each patient answered a survey about their interactions with others before treatment and returned for follow-up in 1 week to take the same survey. Demographics and surgical history were recorded, and before and after photographs were taken. Photographs were used to create a crowdsourced survey which asked responded to assess patients on different personality traits and indicate how likely they would be to engage in a particular action with the patient.

RESULTS: A total of 1,000 survey responses were received. On average, the public perceived patients as significantly more attractive, trustworthy, intelligent, youthful, naturally beautiful, and likeable following treatment with botulinum toxin and Juvéderm (P < 0.05 for all). The public was also more likely to invite patients to social events and ask the patient on a date following treatment with botulinum toxin and Juvéderm (P < 0.05 for all). There were not significant changes in the public’s likelihood to hire a patient, ask them for help with a work project, or lend the patient money following either treatment. Patients also reported that they felt more likely to be asked on a date following both treatments.

CONCLUSIONS: This study suggests that treatment with minimally invasive cosmetics such as botulinum toxin and Juvéderm may impact the way the public both perceives and interacts with patients. Patients may be perceived more favorably in many ways. However, minimally invasive procedures are unlikely to impact how individuals interact with patients in a professional capacity.


1. American Society of Plastic Surgeons. 2017 Plastic Surgery Statistics Report. Available at: Accessed February 25, 2019.

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.