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The Faces of Generative AI: Predictors of FACES
Christopher R Wolfe1, Mackenzie M Blazek1, Paige A Renschler1
1Department of Psychology, Miami University, Oxford, OH USA.
Journal of Maxillofacial and Oral Surgery
|February 6, 2026
Summary
The Facial Appearance as Core Expression Scales (FACES) effectively distinguishes AI-generated faces based on positive or negative prompts. Self-esteem scores also influenced how participants rated their own facial appearance.
Area of Science:
- Psychology
- Artificial Intelligence
- Medical Imaging
Background:
- The Facial Appearance as Core Expression Scales (FACES) was developed to evaluate maxillofacial surgery patients' self-perception.
- This study utilized FACES to assess participant ratings of their own faces and those generated by DALL·E, a generative AI.
Purpose of the Study:
- To validate the FACES scale's ability to differentiate between facial images generated by AI using positive versus negative descriptive prompts.
- To explore the relationship between self-esteem and facial self-perception.
Main Methods:
- 16 photorealistic faces were generated using DALL·E, varying in age, gender, ethnicity, and descriptive prompts (positive/negative).
- 333 participants rated these AI-generated faces and their own faces using the FACES scale.
- Rosenberg Self-Esteem and State Self Esteem Scale scores were collected.
Main Results:
- FACES successfully distinguished between faces generated with positive and negative instructions for all tested image pairs.
- Participant self-esteem scores correlated with their ratings of their own faces.
- DALL·E could not accurately generate realistic maxillofacial anomalies.
Conclusions:
- The FACES scale is a viable tool for differentiating AI-generated facial aesthetics based on prompt sentiment.
- Self-esteem is a significant factor in how individuals perceive their own facial appearance.
- Current generative AI limitations exist in depicting specific medical conditions like maxillofacial anomalies.
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