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Updated: Feb 10, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Smile shape and self-perceived smile attractiveness.
Gabriella Coppola1, Nikolaos Gkantidis2, Carlalberta Verna1
1Department of Pediatric Oral Health and Orthodontics, University Center for Dental Medicine, University of Basel, Mattenstrasse 40, Basel CH-4058, Switzerland.
Smile shape influences perceived attractiveness, especially in females, where wider and taller smiles are rated higher. However, this effect diminishes when accounting for overall facial size, suggesting size plays a key role in aesthetic perception.
Area of Science:
- Facial aesthetics
- Anthropometry
- Psychometrics
Background:
- Self-perceived smile attractiveness is a key aspect of facial aesthetics.
- Understanding the geometric determinants of smile attractiveness can inform cosmetic and orthodontic treatments.
Purpose of the Study:
- To investigate the relationship between three-dimensional smile shape and self-perceived attractiveness in young adults.
- To determine if this relationship differs between males and females.
Main Methods:
- 601 young adults had their smiles captured using 3D stereophotogrammetry.
- Smile shape was analyzed using 62 landmarks and principal component analysis (PCA).
- Multivariate regression models assessed the association between smile shape and self-rated attractiveness, controlling for allometric effects.
Main Results:
- No significant association between smile shape and attractiveness was found in males.
- In females, a significant association was observed, with wider and taller smiles perceived as more attractive.
- After controlling for facial size (allometry), the significant association in females became non-significant, though a moderate effect persisted.
Conclusions:
- Smile shape, particularly proportional width and height, influences perceived attractiveness in females.
- Facial size significantly impacts the perception of smile attractiveness.
- Sex-based differences in aesthetic self-perception and a preference for broader smiles are suggested.
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