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Related Experiment Video

Updated: Aug 7, 2025

Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
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Defining Key Features in Patient Perspectives of Hand Aesthetics.

Alex Joo1, Alannah L Phelan1, Jing Xu1

  • 1From the Division of Plastic Surgery, University of Massachusetts Chan Medical School, Worcester, MA.

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|March 7, 2023
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Summary

Soft tissue volume is key to hand aesthetics, more so than wrinkles or skin tone. Younger, female hands are perceived as more attractive, guiding rejuvenation strategies.

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Area of Science:

  • Aesthetic medicine
  • Dermatology
  • Plastic surgery

Background:

  • Hand aesthetics significantly influence perceived age and appearance.
  • Lay population perceptions of hand attractiveness are understudied compared to expert opinions.
  • This study investigates features contributing to hand attractiveness from a general population viewpoint.

Purpose of the Study:

  • To determine the key features contributing to hand attractiveness in the general population.
  • To compare lay perceptions with expert-driven aesthetic evaluations.
  • To inform aesthetic hand rejuvenation strategies based on public perception.

Main Methods:

  • 223 participants rated the attractiveness of 20 standardized hands.
  • Evaluated features included freckles, hair, skin tone, wrinkles, veins, and soft tissue volume.
  • Multivariate analysis of variance assessed the relative importance of each feature.

Main Results:

  • Soft tissue volume (r=0.73) was the strongest predictor of hand attractiveness.
  • Wrinkles (r=0.71), skin tone consistency (r=0.69), and veins (r=0.65) were also significant factors.
  • Younger hands (r=-0.80) and female hands (mean rating 4.7/10) were perceived as more attractive.

Conclusions:

  • Soft tissue volume is the primary driver of perceived hand aesthetics.
  • Prioritizing volume restoration (fillers, fat grafting) is crucial for hand rejuvenation.
  • Addressing skin tone and wrinkles offers secondary aesthetic benefits.