Italians are considered the most handsome men in the world while men who are balding（变秃的） and aging do not necessarily lose their looks, according to an international survey on what makes men attractive.

A "Male Beauty" survey of nearly 10,000 men and women in 12 countries conducted by market research firm Synovate found that good hygiene（卫生，保健） was actually the top requirement for men to being considered handsome.

The second main requirement to be considered good-looking was confidence, with nearly one fifth of all respondents saying a man must carry himself well, followed by having a "great smile."

Hair, or a lack of, seemed to have little impact with only one percent of respondents saying that a full head of hair was needed to be handsome.

Older men can also take heart as 60 percent of respondents said a man's appearance gets better with age, with Americans, Chinese, Greeks and Malaysians agreeing with that the most.

"Words like distinguished, refined and dignified are regularly used to describe older men," Bob Michaels, Synovate spokesman, said in a statement.

"Here, men are seen like a fine wine - they only get better. Which is good news for some of us."

But looks did also come down to geography.

The survey, conducted in October in Australia, Brazil, Canada, China, France, Greece, Malaysia, Russia, South Africa, Spain, Britain and the United States, found Italian men were considered to be the most handsome -- even though Italy was not one of the countries where people were polled.

They were followed by men from the United States, Russia and Brazil.

In Spain, more men than women consider having muscles and dressing well to be essential requirements, while the opposite was true for Greek women, who were more likely than their male counterparts to think a macho（大男子气概的） look was appealing.

Far more British, French and Australian women also seemed to value "a great smile" than men do.

Synovate used face-to-face and phone interviews to compile the survey. Respondents were aged between 15 and 64 years.