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Updated: Mar 26, 2026

Quantitative Assessment Protocol for Facial Soft Tissue Volumetric Changes with Stereophotogrammetry
Published on: December 9, 2025
Facial soft tissue thicknesses in the present Czech Population
Anna Drgáčová1, Ján Dupej2, Jana Velemínská1
1Department of Anthropology and Human Genetics, Faculty of Science, Charles University in Prague, Czech Republic.
Facial soft tissue thickness (FSTT) varies significantly with sex and age in Czech adults. The lower face shows the most sexual dimorphism, while aging impacts the upper face, particularly in females.
Area of Science:
- Anthropology
- Forensic Science
- Anatomy
Background:
- Soft facial tissue thickness (FSTT) is crucial for facial reconstruction and identification.
- Understanding FSTT variations across demographics is essential for accurate forensic and clinical applications.
- Previous studies have explored FSTT but comprehensive analysis in contemporary Czech populations is limited.
Purpose of the Study:
- To investigate the relationship between soft facial tissue thickness (FSTT) and demographic factors (sex, age) in a contemporary Czech population.
- To analyze facial asymmetry in relation to FSTT.
- To provide normative data for FSTT in the studied population.
Main Methods:
- Analysis of head CT scans from 102 adult Czech individuals (ages 21-83).
- Evaluation of 40 soft facial tissue thickness landmarks.
- Statistical analysis including PCA, Hotelling's T(2) test, LDA, Kolmogorov-Smirnov test, MANOVA, Kruskal-Wallis, and Wilcoxon's paired test.
Main Results:
- Significant sexual dimorphism in FSTT was most pronounced in the lower face (approx. 80% discriminant power).
- Aging significantly influenced FSTT, predominantly in the upper face, with females showing more age-related changes than males.
- Facial asymmetry was confirmed in seven bilateral landmarks, with a tendency towards the right side in five instances.
Conclusions:
- FSTT exhibits distinct patterns of variation related to sex and age in the Czech population.
- The findings highlight the importance of considering sex and age in forensic facial reconstruction and anthropological studies.
- The study provides valuable data on facial asymmetry and its relationship with FSTT.
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