Quantification of the Aesthetically Desirable Female Midface Position

Area of Science:

• Facial analysis
• Aesthetic medicine
• Anthropometry

Background:

• Evaluating midface position is crucial in aesthetic and reconstructive surgery.
• Existing methods may lack reliability or quantitative precision.
• A novel parameter, WIZDOM, was developed to address these limitations.

Purpose of the Study:

• To quantitatively assess midfacial position in women using 2D photographs.
• To evaluate the reliability and relationship of WIZDOM with other facial metrics.
• To determine if WIZDOM correlates with idealized facial proportions.

Main Methods:

• Analysis of stock photographs of 55 non-smiling female models.
• Measurement of various facial parameters including interpupillary distance, medial canthus to lip, brow length, and WIZDOM.
• Statistical analysis of parameter relationships and interobserver reliability among three examiners.

Main Results:

• WIZDOM averaged 108 mm, comparable to brow length (107 mm).
• No statistically significant difference was found between WIZDOM and brow length (P = 0.834).
• Excellent interobserver reliability was achieved for all measured parameters (P < 0.01), with WIZDOM reproducibility at 0.939.

Conclusions:

• WIZDOM provides a quantifiable and reliable method for assessing aesthetically desirable midfacial position.
• This measurement can serve as a benchmark for midface restorative procedures like lifting or volumization.
• WIZDOM aids in achieving balanced aesthetic outcomes in female patients.