D72. Where Does Society Stand On Female Abdominal Definition? A Crowdsourced Investigation and Implications for High-definition Liposuction

PURPOSE: The athletic depiction of the female physique has risen in popularity, mirrored by the surge in techniques to achieve increased rectus abdominus definition such as high-definition liposuction. The objective of this study was to discern the population's preference for varying degrees of female abdominal etching, and to understand how this preference is influenced by respondent age, gender, sexuality, and race. METHODS: A photo-realistic 3D scan of a female trunk was sculpted to showcase three levels of abdominal etching: basic, moderate, and extreme contour. These iterations were integrated into a survey, where participants were tasked with rating each image on a 7-point Likert scale, with 7 being the highest rating, and ranking the three images from least to most attractive. RESULTS: A total of 972 respondents engaged in the survey. The basic contour received the highest attractiveness median [IQR] score of 6.0 [2.0], the moderate contour at 5 [2.0], and the extreme contour at 4 [4.0] (P<0.001). Compared to extreme contour, respondents were 82.3 times as likely to rate basic contour a 7.0 and 15.4 times as likely to rate moderate contour a 7.0 (both P<0.001). Respondents across demographic subgroups ranked the basic contour the most attractive, moderate contour the second most attractive, and extreme contour the least attractive (all P<0.001). CONCLUSION: Our findings demonstrate that the overall population significantly prefers basic abdominal contour. A nuanced approach that takes into consideration the ideal contour and patient differences may lead to more aesthetic outcomes for body contouring surgeons.