Reflecting on Your Reflection: Examining the Effect of a Non-Reversing Mirror on Self Perception
Abstract Background Photographic images can clash markedly with patients’ self-perception. Individuals are more familiar with their mirror image, where their facial asymmetries are reversed. A non-reversing mirror (NRM) allows patients to see their dynamic non-reversed image and familiarize themselves with how they appear in photographs and to others. Objectives We aim to explore the effect that a non-reversing mirror has on facial self-perception and if it changes an individuals goals when considering cosmetic surgery. Methods Individuals (n=30) filled out portions of the FACE-Q™ after inspecting their reflections in a non-reversing mirror and in a standard mirror for 30 seconds each. Following both, investigators asked qualitative questions comparing the two mirrors. Wilcoxon signed-rank, Mann Whitney U, and Pearson’s Chi-squared tests were performed for analysis. Results Participants scored significantly better on the FACE-Q™ Age Appraisal and Appearance-Related Psychosocial Distress when using a standard mirror vs. NRM (p=0.007 and 0.001, respectively). Qualitatively, most reported that their faces seemed less symmetric and less balanced (73% and 53%, respectively) in the NRM. Overall, 83.3% reported seeing a qualitative difference in their appearance, with 30% endorsing that looking in the NRM had changed their facial aesthetic goals. Conclusions A NRM can bridge between the familiarity of the patient’s reversed reflection and their less-familiar, non-reversed true image. It may serve as a useful physician-patient communication tool when discussing goals and expectations for facial aesthetic procedures.