{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T10:46:56Z","timestamp":1790938016733,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T00:00:00Z","timestamp":1702339200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Minimally invasive lip volumizing and contouring soft tissue filler procedures are frequently requested by both female and male aesthetic patients. Guidance on how to achieve the most beautiful outcome is inconsistent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate what the most beautiful proportions are in relation to vermillion thickness, the distance of the upper and lower lip in relation to nose and chin, and relation to the bigonial distance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study included a total of <jats:italic>n<\/jats:italic>\u2009=\u2009101 volunteers (52 females, 49 males, 100% Caucasian) who inspected frontal images of modified facial proportions and answered a related questionnaire showcasing the same images. Image presentation followed a randomized sequence both for the eye tracking and for the survey component of this study but was equal for all observers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most attractive vertical position of lips was the 1:2 ratio in which the distance between lips and chin is double the length as the distance between lips and nose. For the ratio between the width of the lips and the bigonial distance, it was the 1:2.5 ratio, whereas for the thickness of the upper lip vermilion in relation to the upper lip ergotrid it was the 1:3\/1:2 (male\/female) ratio and for the lower lip vermilion and lower lip ergotrid it was the 1:4 ratio for both genders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this eye tracking and survey\u2010based investigation revealed that instead of one single universal ratio, multiple facial proportions exist that are perceived as most attractive\/masculine\/feminine. Regarding the perception of facial aesthetics, it appears there is a distinction between attractiveness and masculinity\/femininity: the most attractive male\/female face is not necessarily the most masculine or feminine.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.19727","type":"journal-article","created":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T23:28:19Z","timestamp":1702423699000},"page":"1606-1617","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The perception of lip aesthetics in the context of facial proportions\u2014An eye\u2010tracking\u2010based analysis"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0026-8252","authenticated-orcid":false,"given":"Joanna","family":"Kempa","sequence":"first","affiliation":[{"name":"Individual Course of Study in Plastic, Reconstructive and Aesthetic Surgery Clinic Institute of Surgery, Medical University of Lodz  Lodz Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4892-2376","authenticated-orcid":false,"given":"Michael","family":"Alfertshofer","sequence":"additional","affiliation":[{"name":"Division of Hand, Plastic and Aesthetic Surgery Ludwig\u2010Maximilians\u2010University  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Swift","sequence":"additional","affiliation":[{"name":"Westmount Institute of Plastic Surgery  Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy B.","family":"Green","sequence":"additional","affiliation":[{"name":"Skin Associates of South Florida and Skin Research Institute  Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boguslaw","family":"Antoszewski","sequence":"additional","affiliation":[{"name":"Plastic, Reconstructive and Aesthetic Surgery Clinic Institute of Surgery, Medical 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