Chinese Facial Beauty Preference LETTER TO THE EDITOR Chinese Facial Beauty Preference Xingchen Zhu1 • Xiao Long2 Received: 4 September 2018 / Accepted: 5 September 2018 / Published online: 16 October 2018 � The Author(s) 2018 Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Dear Sir, With great interest, we read the article ‘Ideals of Facial Beauty Amongst the Chinese Population: Results from a Large National Survey’ written by Dr. Souphiyeh Sami- zadeh and Prof. Woffles Wu [1]. In the paper, the authors investigate ‘the preference of Han Chinese laypersons for facial shape, profile (straight, convex, concave), jaw angle and shape, and shape of the chin, nose, and lips’ [1]. From this survey, the authors concluded that the Han Chinese population prefers an oval facial shape with minor varia- tions to the oval facial shape, a pointed, narrow chin, obtuse mandibular angle for women and a straight facial profile and to some extent an anteriorly projecting chin, a concave or straight dorsum of the nose and small, full lips with well-defined Cupid’s bows with tapering volume towards the oral commissures. Recently, we have carried out a similar investigation to gain the Chinese aesthetic preference for the angles and proportions of midface through three-dimensional facial images processed by Photoshop CS6. We took a three- dimensional facial image of a 25-year-old Chinese woman, who had no plastic surgery history and no facial deformity. Midface angles and proportions including nasofrontal angle, nasolabial angle, intercanthal width/nose width and ocular width/mouse width were modified to various values by Photoshop CS6 [2]. A total of 1333 Chinese raters (including 338 plastic surgery patients and 995 people with no plastic history) were recruited to offer their own demographic information such as gender, age, educational Fig. 1 Investigation picture of different intercanthal widths & Xiao Long pumclongxiao@126.com; pumclongxiao@gmail.com 1 Communication University of China, Beijing, China 2 Division of Plastic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing 100730, China 123 Aesth Plast Surg (2019) 43:876–877 https://doi.org/10.1007/s00266-018-1228-5 http://orcid.org/0000-0003-0136-2508 http://www.springer.com/00266 http://crossmark.crossref.org/dialog/?doi=10.1007/s00266-018-1228-5&domain=pdf http://crossmark.crossref.org/dialog/?doi=10.1007/s00266-018-1228-5&domain=pdf https://doi.org/10.1007/s00266-018-1228-5 background, economic condition and plastic history, and to choose the most ideal angle or proportion. In the prelimi- nary results, we found the Chinese ideal nasofrontal angle, nasolabial angle, intercanthal width/nose width and ocular width/mouth width were 133.99� ± 5.49�, 89.65� ± 5.55�, 0.84 ± 0.07 and 0.64 ± 0.03. Women in North China preferred a larger nasolabial angle, smaller nasofrontal angle and larger ocular width/mouth width than those in South China. Elderly Chinese with low education levels, high income and high expense had an obvious preference for a small intercanthal width/nose width. We think our investigation results could be the supple- ment data for the Samizadeh and Wu study. By combining the methods and the results, plastic surgeons from different areas of Asia could have a more thorough picture of Chi- nese beauty and the Chinese aesthetic characteristics could be concluded as well (Fig. 1). Acknowledgements The study was funded by Research training Project of Communication University of China ‘‘The Aesthetic Evolution of Han Women in Northern China from the Perspective of DNA Genetics’’ Grant No. CUC17B35. Compliance with Ethical Standards Conflict of interest The authors declare that they have no conflicts of interest to disclose. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http:// creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. References 1. Samizadeh S, Wu W (2018) Ideals of facial beauty amongst the chinese population: results from a large national survey. Aesthetic Plast Surg. https://doi.org/10.1007/s00266-018-1188-9 2. Othman SA, Majawit LP, Wan Hassan WN et al (2016) Anthropometric study of three-dimensional facial morphology in malay adults. PLoS ONE 11:e0164180 Aesth Plast Surg (2019) 43:876–877 877 123 http://creativecommons.org/licenses/by/4.0/ http://creativecommons.org/licenses/by/4.0/ https://doi.org/10.1007/s00266-018-1188-9 Chinese Facial Beauty Preference Acknowledgements References