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Facial symmetry is one specific measure of bodily asymmetry. Along with traits such as averageness and youthfulness it influences judgements of aesthetic traits of physical attractiveness and beauty. It is also associated with health and genetic fitness. Facial symmetry has been suggested as a possible physical manifestation of the 'big-five' personality traits. For example, it is found that extraversion and openness are strongly associated with the symmetry of the face. Hormones such as testosterone and estrogen are believed to be associated with developmental processes and growth of facial features during puberty and as a result are hypothesized to be the cause for individual differences in the implications associated with facial symmetry. Facial bilateral symmetry is measured via fluctuating asymmetry of the face comparing random differences in facial features of the two sides of the face that develop and accumulate throughout one's lifetime as a result of stressors.
Facial symmetry has been shown to have an effect of ratings of attractiveness in human faces. More symmetrical faces are perceived as more attractive in both males and females, although facial symmetry plays a larger role in judgments of attractiveness concerning female faces. A wide variety of methods has been used to examine the claim that facial symmetry plays a role in judgments of beauty. Blending of multiple faces to create a composite and face-half mirroring have been among the techniques used. While studies employing the first method produced results that indicate that more symmetrical faces are perceived as more attractive, studies applying the later method have indicated that humans prefer slight asymmetry. Also studies show that nearly symmetrical faces are considered highly attractive compared to unsymmetrical ones, yet more specifically, people tend to find a face unattractive if a person has an unsymmetrical nose, and the effect of unsymmetrical lips do not really affect people on judging attractiveness. The most conspicuous directional asymmetries are sometimes only temporary. For example, during speech, most people (76%) tend to express greater amplitude of movement on the right side of their mouth. This is most likely caused by the uneven strengths of contralateral neural connections between the left hemisphere of the brain (linguistic localization) and the right side of the face. This has led to the emergence of the theory that initial findings that facial symmetry plays a role in judgments of attractiveness are merely due to artifacts created when blending faces, such as a smoother skin texture. However, this claim has been refuted, as it has been shown that mirroring face-halves creates artificial features. For example, if the nose of an individual is slightly bent to the right side, then mirroring the right side of the face will lead to an over-sized nose, while mirroring the left side will lead to an unnaturally small nose. Therefore facial symmetry’s role in judgments of attractiveness is no longer disputed, as the method providing confounding evidence has been proven to be faulty.
Evolutionary theorists in biology and psychology argue that more symmetric faces are preferred because symmetry is a possible honest sign of superior genetic quality and developmental stability. However, it is possible that high facial symmetry in an individual is not due to their superior genetics but due to a lack of exposure to stressors during development. This potentially confounding source of facial symmetry is not explored in the literature. The notion that facial symmetry is viewed by humans as an indicator of ‘good genes’ is supported by experiments demonstrating that more symmetrical faces are rated as healthier than less symmetrical faces. Additionally, asymmetry can be fluctuated by increasing health challenges during growth. As a result, phenotypic quality and how well an individual’s genome can fight disease and uphold normal development can be indicated by symmetry.
Facial symmetry is also a valid marker of cognitive aging. Progressive changes occurring throughout life in the soft tissues of the face will cause more prominent facial asymmetry in older faces. Therefore, symmetrical transformation of older faces generally increases their attractiveness while symmetrical transformation in young adults and children will decrease their attractiveness. Males with more symmetric faces in old age have higher intelligence and are more efficient at information processing than males with less symmetric faces. This is possibly due to the better genes leading to more resistance against stressors in life which is then reflected in less accumulated fluctuating asymmetry.
Non-scientific theories of attraction and symmetry abound. Symmetry of each face is evaluated by human brain while the face recognition process. This fast and effective detection is difficult with computer programs. For instance, the conjunction "of similar and related parts that are to some extent contrasted to one another" has been considered to have the most aesthetic appeal. Likewise shared features echoism, proportions and similarity to people the person bonded to early in life (prima copulism) have been suggested as relevant.
Relationship to personality
Research indicates that facial symmetry is linked to the ‘big-five’ model of personality. The most consistent finding is that facial symmetry is positively correlated with extraversion, indicating that individuals with more symmetric faces are also more extroverted. More symmetrical faces are also judged to be lower on neuroticism but higher on conscientiousness and agreeableness. More symmetrical faces are also more likely to have more desirable social attributes assigned to them, such as sociable, intelligent or lively.
However, the relationship of facial symmetry and the ‘big-five’ personality model remains somewhat unclear with regard to neuroticism, openness, agreeableness and conscientiousness. While the previously described studies lead to the expectations that more symmetrical faces will be higher on extraversion, openness, agreeableness and conscientiousness, and lower on neuroticism, these expectations were not confirmed empirically. Openness and agreeableness appear to be significantly negatively related to facial symmetry, while neuroticism and conscientiousness do not seem to be linked to facial symmetry. The relationship of facial symmetry and the ‘big-five’ personality model requires further examination in order to allow for complete conclusions to be drawn.
A recent study shows the association of trustworthiness and symmetry on the face. People are biologically evolved to detect the deceptive intention of other people by observing the asymmetry in the face. When people are lying, their muscle on the face gets very imbalanced.
Facial averageness vs. symmetry
Facial symmetry is considered to be among many other characteristics related to health, beauty and facial and physical attractiveness. However, there is a dispute of whether increased facial attractiveness is solely due to changes in symmetry or averageness. Experiments show that symmetry and averageness make independent contributions to overall attractiveness. Averageness remains a significant predictor of attractiveness when the effect of symmetry was excluded. The results of these experiments rejected that the attractiveness of facial configurations could be solely due to associated changes in symmetry, and strengthened the evidence that facial averageness is attractive.
A large body of work has been conducted relating symmetry to attractiveness, though this is not yet incorporated in this article. Symmetry may act as a marker of phenotypic and genetic quality  and is preferred during mate selection in a variety of species .
Experimentally, when the shape of facial features is varied (with skin textures held constant), increasing symmetry of face shape increases ratings of attractiveness for both male and female faces . These findings imply facial symmetry may have a positive impact on mate selection in humans.
Non-scientific theories of attraction and symmetry abound. For instance, the conjunction "of similar and related parts that are to some extent contrasted to one another" has been considered to have the most aesthetic appeal. Likewise shared features echoism, proportions and similarity to people the person bonded to early in life (prima copulism) have been suggested as relevant. 
Etiology of facial asymmetry
- Facial hemi-trophy or hypertrophy of superfacial tissue , muscle & bone.
- Mandibular Condylar hypoplasia due to intrauterine or birth trauma.
- TMJ Ankylosis, the mandible moves to the affected side.
- Mandibular body or ramus hyperplasia, the mandible moves to the unaffected side.
Zygomatic process fracture & followed infra orbital depression.
Abscess - cellulitis - cyst
a- Atrophy of facial musculature following Bell's palsy.
b- Hyperplasia of masseter muscle in clenching habit.
c- Patients using only one side in chewing
Inflammatory as mumps or neoplastic.
Ameloblatoma - lipoma - osteoma
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- Oral diagnosis 402 by Dr.Gihane Gharib Madkour
Lecturer of Oral Medicine, Oral Diagnosis & Periodontolgy Cairo University
- "Teeth, Beauty, Biology, and Health" – a class handout on dentition and facial symmetry at the College of Dentistry – University of Illinois at Chicago.
- "Chimeric Face Experiment" – Perform a facial symmetry and attractiveness experiment by uploading a photo
- FaceResearch – Online studies on facial symmetry by researchers affiliated with University of Aberdeen (Scotland) School of Psychology, and University of St. Andrews (Scotland).
- "A facial symmetry plugin for the GIMP" -- Try experimenting with facial symmetry, using open source software.
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