The Impact of Dermal Fillers on Perceived Personality Traits and Attractiveness



Dermal fillers are increasingly popular for facial rejuvenation and enhancement, including effacement of nasolabial folds (NLFs) and marionette lines and lip augmentation. This study aimed to evaluate casual observer perception of physical and interpersonal traits of subjects who receive filler treatment.


An anonymous survey of 8 before/after treatment photographical sets was administered in Likert scale format (1–7) using online crowdsourcing. Three sets of photographs were before/after NLF/ marionette line treatment, three of lip augmentation, and two internal controls. Respondents were surveyed on personal demographics, as well as perceptions of subject photographs across nine domains (facial symmetry, confidence, likeability, youthfulness, trustworthiness, attractiveness, intelligence, approachability, happiness).


In total, 260 respondents completed the survey. The majority were male (63.1%), Caucasian (58.1%), 18–34 years old (58.1%), and college graduates (66.2%). Respondents rated photographs with line filler treatment and lip filler treatment as significantly improved compared to the pre-treatment photographs across all nine trait domains [p < 0.001, for all]. No differences were found between the control photosets [p > 0.05, for all]. Middle-aged respondents (35–55 years) were more likely to perceive treated filler photographs as more youthful than younger respondents (18–34 years) [p < 0.006] Additionally, respondents with lower educational attainment (high-school graduate or less) were more likely to perceive treated patients as less intelligent compared to higher-educated respondents (college/postgraduates) [p < 0.05, for both].


The use of dermal fillers for treatment of NLF/marionette lines and lip augmentation have significant associations with the perception of improved attractiveness and several personality traits. Additionally, casual observer demographic subgroups may influence perceptions.

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Correspondence to Jason D. Bloom.

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Dr. Bloom is a consultant, clinical investigator, trainer and is on the speaker’s bureau of Allergan. All other authors report no relevant disclosures to this study.

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All respondents were briefed with informed consent prior to the survey.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Othman, S., Cohn, J.E., Daggumati, S. et al. The Impact of Dermal Fillers on Perceived Personality Traits and Attractiveness. Aesth Plast Surg 45, 273–280 (2021).

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  • Dermal filler
  • Hyaluronic acid filler
  • Nasolabial folds
  • Marionette lines
  • Perception
  • Personality
  • Lip augmentation
  • Attractiveness