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The present manuscript advances a highly conceptual theoretical framework in which the integument is recognized as a bidirectional sensory-emissive organ instrumental to the first impressions projected and received. At least 5 biologically plausible signaling channels are proposed: (1) thermal infrared radiation; (2) ultraweak photon emission; (3) the cardiac electromagnetic field; (4) volatile chemosignals; and (5) affective touch mediated by C-tactile afferents. A subcortical\u2013cortical integrative network, anchored by the amygdala for rapid salience detection, the insular cortex for interoceptive integration, and the ventromedial prefrontal cortex for value conversion, is proposed as the unifying neural substrate through which these channels converge into the rapid judgments characterized in first-impression research. This integration is proposed as a candidate mechanism that may contribute to the speed and stability of human social recognition, and reframes the dermal and aesthetic interventions performed in cosmetic medicine as impacting a multichannel social signaling network, influencing the psychosocial outcomes increasingly recognized as central to aesthetic medical benefits.<\/jats:p>\n                  <jats:p>Level of Evidence: 5 (Diagnostic)<\/jats:p>\n                  <jats:p\/>","DOI":"10.1093\/asjof\/ojag186","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T11:59:47Z","timestamp":1790164787000},"source":"Crossref","is-referenced-by-count":0,"title":["The Social Skin: A Neuroaesthetic Theoretical Framework for Multimodal Subconscious Signaling in Human Attraction"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6433-1533","authenticated-orcid":false,"given":"Steven H","family":"Dayan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"2026101616320151600_ojag186-B1","doi-asserted-by":"publisher","first-page":"592","DOI":"10.1111\/j.1467-9280.2006.01750.x","article-title":"First impressions: making up your mind after a 100-ms exposure to a face","volume":"17","author":"Willis","year":"2006","journal-title":"Psychol Sci"},{"key":"2026101616320151600_ojag186-B2","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1037\/0033-2909.111.2.256","article-title":"Thin slices of expressive behavior as predictors of interpersonal consequences: a meta-analysis","volume":"111","author":"Ambady","year":"1992","journal-title":"Psychol Bull"},{"key":"2026101616320151600_ojag186-B3","doi-asserted-by":"publisher","first-page":"S40","DOI":"10.1111\/j.1524-4725.2008.34241.x","article-title":"Botulinum toxin A can positively impact first impression","volume":"34","author":"Dayan","year":"2008","journal-title":"Dermatol Surg"},{"key":"2026101616320151600_ojag186-B4","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1093\/asj\/sjz362","article-title":"Evaluation of selfies and filtered selfies and effects on first impressions","volume":"41","author":"Cristel","year":"2021","journal-title":"Aesthet Surg J"},{"key":"2026101616320151600_ojag186-B5","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1089\/fpsam.2020.0279","article-title":"Video conferencing impact on facial appearance: looking beyond the COVID-19 pandemic","volume":"22","author":"Cristel","year":"2020","journal-title":"Facial Plast Surg Aesthet Med"},{"key":"2026101616320151600_ojag186-B6","doi-asserted-by":"publisher","first-page":"6951","DOI":"10.1111\/jocd.15395","article-title":"The influence of wearing a mask on the projected first impressions and attractiveness levels of smiling individuals","volume":"21","author":"Dayan","year":"2022","journal-title":"J Cosmet Dermatol"},{"key":"2026101616320151600_ojag186-B7","doi-asserted-by":"publisher","first-page":"1317","DOI":"10.1097\/DSS.0000000000002327","article-title":"Perception of beauty in the visually blind: a pilot observational study","volume":"46","author":"Dayan","year":"2020","journal-title":"Dermatol Surg"},{"key":"2026101616320151600_ojag186-B8","doi-asserted-by":"publisher","first-page":"37831s5","DOI":"10.36849\/JDD.37831","article-title":"The psychology of beauty: balancing nature, confidence, and authenticity","volume":"24","author":"Dayan","year":"2025","journal-title":"J Drugs Dermatol"},{"key":"2026101616320151600_ojag186-B9","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1146\/annurev.psych.57.102904.190208","article-title":"The evolutionary psychology of facial beauty","volume":"57","author":"Rhodes","year":"2006","journal-title":"Annu Rev Psychol"},{"key":"2026101616320151600_ojag186-B10","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1111\/1467-9280.00002","article-title":"Does human facial attractiveness honestly advertise health? 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