OBJECTIVES: To describe the psychosocial impact of facial aging in adult females and males. METHODS: Participants aged 18-75 were recruited from a pool of internet panelists in Australia, Canada, United Kingdom, and United States. Psychosocial impact of facial aging was evaluated using the Self-Perception of Age (SPA) measure, the Facial Line Satisfaction Questionnaire (FLSQ), and the Facial Line Outcomes (FLO-11) Questionnaire. Quotas were used to ensure representation of all age, gender, and race categories of interest. Descriptive statistics were reported. RESULTS: A total of 4,086 respondents completed the survey. Mean age was 47.7 years (SD=16.1) and 80.0% of respondents were female.  Nearly all participants (95.6%) perceived themselves as looking their current age or younger (females: mean 9.7 [SD=6.8]; males: mean 9.6 [SD=6.4] years younger). Participants aged 40-49 perceived themselves as looking slightly younger than any other cohort. Black participants perceived themselves as looking greater years younger than White participants (in all age cohorts) and Asian and Hispanic participants (in select age cohorts).  Over half of participants (53.8%) were ‘mostly/very satisfied’ with the appearance of their face; satisfaction was higher in younger cohorts (18-49 years) and decreased slightly in older cohorts (50-75 years).  White and Black participants reported the greatest negative self-perception and most favorable self-perception, respectively, based on the FLO-11. Females reported greater negative impact of facial lines than males, with the greatest negative impact among females aged 40-59; among males, White participants and participants aged 40-49 reported the greatest negative impact.  CONCLUSIONS: This is the first multinational study to describe the psychosocial impact associated with facial lines. Participants generally reported a high overall positive outlook on their facial appearance, with Black participants reporting the highest levels of satisfaction. Data from this study can be used as a basis for future research on the impact of facial aging.