Abstract

Physiognomy is still practiced in China and is a factor influencing the cosmetic procedures offered by aesthetic practitioners, and treatments requested by patients. The aim of this study was to assess the prevalence of belief in physiognomy in China and its effect on cosmetic treatments requested and offered by aesthetic practitioners. This study consisted of a survey given to the general public (online) and Chinese aesthetic practitioners (face to face). A total of 1816 responses (1070 general public, 746 aesthetic practitioners) were collected. About 63% of the general population and 86.3% of the aesthetic practitioners stated they believed in facial physiognomy. A majority of the general population surveyed believed that facial appearance can determine various aspects of their life. However, the majority believed changing their facial features would not affect factors believed to be determined by physiognomy. A total of 73.9% of the aesthetic practitioners thought their belief in physiognomy affected the treatments they suggest and most believed belief in physiognomy influences treatments requested. The belief in facial physiognomy has a direct impact and needs to be taken into consideration during patient consultation.

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