Authors
Steven H Dayan
Published in
Aesthetic surgery journal. Open forum. Volume 8. Pages ojag186. Epub Sep 24, 2026.
Abstract
First-impression formation in humans occurs within 100 ms and demonstrates remarkable stability across cultures. The present manuscript advances a highly conceptual theoretical framework in which the integument is recognized as a bidirectional sensory-emissive organ instrumental to the first impressions projected and received. At least 5 biologically plausible signaling channels are proposed: (1) thermal infrared radiation; (2) ultraweak photon emission; (3) the cardiac electromagnetic field; (4) volatile chemosignals; and (5) affective touch mediated by C-tactile afferents. A subcortical-cortical integrative network, anchored by the amygdala for rapid salience detection, the insular cortex for interoceptive integration, and the ventromedial prefrontal cortex for value conversion, is proposed as the unifying neural substrate through which these channels converge into the rapid judgments characterized in first-impression research. This integration is proposed as a candidate mechanism that may contribute to the speed and stability of human social recognition, and reframes the dermal and aesthetic interventions performed in cosmetic medicine as impacting a multichannel social signaling network, influencing the psychosocial outcomes increasingly recognized as central to aesthetic medical benefits. Level of Evidence: 5 (Diagnostic).
PMID:
42891412
Bibliographic data and abstract were imported from PubMed on 18 Oct 2026.
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