About the same as elderly people that are proud of their gray hair and wrinkles (like me). If they fit the character of the person, no one really notices, if it doesn't fit, it sticks out the Rudolf the Reindeers red nose. The horn is unprotected, your hands also. If you have an allergy with any of the metals in brass you will get that in addition to the green hands too. The horn does not play better or worse, maybe just a TINY bit differently.