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Original Communication
RESUMEN ABSTRACT
El equililbrio y la armona de los diferentes rasgos de The balance and harmony of various facial features
la cara son esenciales para el cirujano quien debe are essential to surgeon who requires facial analysis in
analizar la cara para poder planificar su tratamiento. the diagnosis and treatment planning. The evaluation
La evaluacin de la cara femenina se puede hacer por of female face can be made by various linear
medio de medidas lineales, angulares y proporciones. measurements, angles and ratios. The aim of this
El propsito de esta investigacin es examinar varias study was to investigate various facial ratios in Indian
proporciones faciales en las mujeres aborgenes American women and to compare them with the Indian
americanas y compararlas con las normas de las and Caucasian norms. Additionally, we wanted to
personas indias (de India) y las personas caucsicas. evaluate whether these values satisfy golden and
Tambien queriamos saber si estas normas satisfacen silver ratios. Direct facial anthropometric measur-
las proporciones de oro y de plata. Las medidas ements were made using a digital caliper in 100 Indian
faciales antropometricas se tomaron utillizando un American women students (18 - 30 years) at the
calibre digital en cien estudiantes aborigenes American University of Antigua (AUA), Antigua. A set
americanas (18-30 aos) en la Universidad Americana of facial ratios were calculated and compared with
de Antigua (AUA). Un conjunto de proporciones Indian and Caucasian norms. Coefficients of variation
faciales fue calculado y comparado con las normas de of the ratios were also calculated. All the facial ratios
las mujeres de la India y de las mujeres caucsicas. were found to be similar with previous reports on
Los coeficientes de variacin de las proporciones Indian women. Most of the facial ratios had small
tambin se calcularon. Todas las proporciones faciales coefficients of variation thus making them highly
fueron similares con los informes anteriores sobre las reliable due to reduced intra-sample variability. The
mujeres de la India. La mayora de las proporciones upper face-face height index, mandibulo-lower facial
tenian pequeas coeficientes de variacin hacindolas height and upper face height-biocular width index were
as muy confiables, debido a la reduccin en la close to golden ratios whereas the nasal index was
variabilidad de las muestras. El indice de altura de la close to a silver proportion. There was significant
parte superior de la cara, la altura facial mandbulo- difference in most of the values when compared to
inferior y la altura biocular de la parte superior de la Indian and Caucasian data using unpaired t test. The
cara se acercaban todos a las proporciones de oro present facial ratios data can be used as a reference
mientras el indice nasal era casi una proporcin de value for Indian American women.
plata. Habian diferencias significativas en la mayora
Keywords: Facial anthropometry, facial ratio, golden
de los resultados cuando se comparaban las
ratio, silver ratio.
estadsticas de los indios y las personas caucsicas _________________________________________________
utilizando evaluaciones desapareadas. Las estads-
ticas actuales de las proporciones faciales pueden ser * Correspondence to: Chakravarthy Marx Sadacharan,
utilizadas como valores de referencia para las mujeres School of Medicine, American University of Antigua (AUA),
aborgenes de Amrica. P.O-1451, Coolidge, St. Johns, Antigua, West Indies.
smarx@auamed.net
Palabras clave: Antropometra facial, proporcin
facial, proporcin de oro, proporcin de plata. Received: 23 January, 2016. Revised: 3 February, 2016.
Accepted: 17 February, 2016.
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Facial anthropometric proportions Rev Arg de Anat Clin; 2016, 8 (1): 10-17
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Facial anthropometric proportions Rev Arg de Anat Clin; 2016, 8 (1): 10-17
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Antigua. The age of the subjects ranged from 18- labial fissure; gn, gnathion., lowest median point
30 years. This study was approved by AUA on the lower border of the mandible.
ethics committee. The subjects with, previous
history of developmental and neurological defects
of facial region, cosmetic treatment of facial
region, cranio-facial trauma, surgery and bi-racial
ethnic origins were excluded.
This study was funded by, School of Medicine,
AUA, Antigua. The study was explained and the
standard informed consent forms were collected
from the participants prior to the study. The
anthropometric landmarks were identified on the
subjects with careful inspection and were marked
on the face with black liquid eye liner (Fig. 1).
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Facial anthropometric proportions Rev Arg de Anat Clin; 2016, 8 (1): 10-17
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norms. Facial ratios (vertical-vertical, horizontal- test was used to compare the difference between
horizontal and vertical-horizontal) were under- right and left side linear measurements. Column
taken in this study, summarized in Table 1. statistics were used to calculate the mean ratio,
Data were collected and analyzed in accordance standard deviation (SD), minimum, maximum and
with the current law about personal data and standard error of mean (SEM). Unpaired t test
privacy. The statistical analysis was performed was done to compare the present study data with
using Graph pad instat (Version 3.06, Graph other studies using mean, SD and number of
pad Software Inc.), San Diego, CA. The paired t samples.
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Facial anthropometric proportions Rev Arg de Anat Clin; 2016, 8 (1): 10-17
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Facial anthropometric proportions Rev Arg de Anat Clin; 2016, 8 (1): 10-17
___________________________________________________________________________________________
face height index showed low coefficient of Jagadish Chandra et al, 2012; Farkas, 1994) and
variation (7%) in Indian women (Kalra et al, 2015) North American White women (Farkas and
and high coefficient of variation (14.58%) in the Cheung, 1979).
present Indian American women study. In the present study, upper face height biocular
In the present study, the means of mandibulo width, mandibular width face height and facial
lower face height index (0.67) and upper face to indices had low coefficient of variation and more
face height index (0.63) were close to the golden reliable for judging the facial esthetics when
proportions which are similar to the previous compared to upper lip height mouth width index
studies on Indian women (0.65; 0.69) (Kalra et al, showed a high coefficient of variation. In the
2015) and Caucasian women (0.61; 0.69) present study, the upper face index showed low
(Farkas, 1994) respectively. coefficient of variation (11%) and reliable when
In horizontal to horizontal facial ratios on Indian compared to a study conducted by Kalra et al
American women, mouth face width index was (2015).
similar with previous studies done on Indian In the present study, the mean of upper face
women (Kalra et al, 2015; Jagadish Chandra et height-biocular width index (0.68) was close to
al, 2012; Farkas, 1994) and North American the golden proportion and nasal index (0.75) was
White women (Farkas and Cheung, 1979). The close to the silver proportion. The mean of nasal
mandibular face width (Jagadish Chandra et al, index in Indian women (0.62) (Kalra et al, 2015)
2012) and intercanthal nasal width (Kalra et al, and in Caucasian women (0.64) (Farkas, 1994)
2015; Jagadish Chandra et al, 2012) indices in showed close to the golden proportions.
Indian women studies were also similar with Variations in the facial morphology arise through
present study whereas, North American White number of factors which include gender, race,
women (Farkas and Cheung, 1979) and Indian dietary, climate, and environment where we live
women (Farkas, 1994) studies showed statist- (Wankhede et al, 2012). The climate, dietary, and
ically significant difference (p<0.001). In the environment are different in USA when compared
available literature search, I could not find the to India. Kunjur et al (2006) suggested that the
data on eye fissure intercanthal width, eye fissure aesthetic standards of a particular group may not
nasal width and eye fissure intercanthal mouth suit other patients belonging to diverse racial and
width indices for the comparison. ethnic background.
In the present study, mandibular face width index The evaluation of ideal ratios rather than actual
has low coefficient of variation (9.44%) and more measurements is better since it is the proportion
reliable for judging the facial esthetics when that matters for judging the esthetic value of a
compared to other horizontal to horizontal ratios. subject whether living or nonliving rather than the
In the present study, mouth face width index actual measurements. The ratios nullify the errors
showed low coefficient of variation (7%) and was in measuring the linear distances on photographs
similar to a study conducted by Kalra et al (2015). (Kalra et al, 2015). The studies done on Indians
In the present study, the means of horizontal to (Kalha et al, 2008; Packiriswamy et al, 2012;
horizontal ratios were not close to the golden Jagadish Chandra et al, 2012; Upadhyay et al,
proportion. The mean of nose mouth width index 2013; Sinojiya et al, 2014; Kalra et al, 2015) were
in Indian women (0.69) by Kalra et al (2015) and based on photographic data.
in Caucasian women (0.63) by Farkas (1994) Results of certain facial ratios in the present
showed close to the golden proportion. study differ from previous reports in Indian
In vertical to horizontal facial ratios on Indian women which may be due to differences in the
American women, upper face index was similar method of measurement used and diverse ethnic
with previous studies done on Indian women background of the our study subjects from within
(Kalra et al, 2015; Farkas, 1994). The upper face India.
height biocular width (Kalra et al, 2015), mand- All the 25 variables were found to be similar.
ibular width face height (Kalra et al, 2015), facial Three variables namely upper face-face height
(Farkas and Cheung, 1979; Farkas, 1994), index, mandibulo-lower facial height and upper
mandibular (Kalra et al, 2015) and upper lip face height-biocular width index were close to
height mouth width (Kalra et al, 2015; Farkas and golden proportions whereas nasal index was
Cheung, 1979; Farkas, 1994) indices in Indian close to silver proportion.
women studies were also similar with the present The present studys facial ratios data can be
study whereas, North American White women used as a reference value for Indian American
(Farkas and Cheung, 1979) and Indian women women which can be made use of if they need to
(Jagadish Chandra et al, 2012) studies showed undergo facial surgery. The aesthetic surgeons
statistically significant difference (p<0.001). Nasal must know the average and ideal facial
index was not in agreement with previous studies proportions when they apply to the Indian
done on Indian women (Kalra et al, 2015; American women patients so that surgical
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Facial anthropometric proportions Rev Arg de Anat Clin; 2016, 8 (1): 10-17
___________________________________________________________________________________________
procedures can be performed with the goal in George RM, Iscan MY, Helmer RP. 1993.
mind of achieving an attractive and harmonious Anatomical and artistic guidelines for forensic
appearance. facial reconstruction. Forensic Analysis of the
skull, New York: Wiley-liss, 223p.
Husein OF, Sepehr A, Garg R, Sina-Khadiv M,
Conflict of Interest Gattu S, Waltzman J.2010. Anthropometric and
None aesthetic analysis of the Indian American
woman's face. J Plast Reconstr Aesthet Surg
Funding 63: 1825-31.
This study was funded by the School of Medicine, Jagadish Chandra H, Ravi MS, Sharma SM,
American University of Antigua (AUA), Antigua, Rajendra Prasad B. 2012. Standards of facial
West Indies. esthetics: an anthropometric study. J Maxillofac
Oral Surg 11: 384-89.
Ethical Approval Jahanbin A, Basafa M, Alizadeh Y. 2008.
This study was approved by AUA ethics Evaluation of the Divine Proportion in the facial
committee. profile of young females. Indian J Dent Res 19:
292-96.
Informed Consent Jain SK, Anand C, Ghosh SK. 2004. Photometric
The standard informed consents were collected Facial Analysis - A Baseline Study. J Anat Soc
from the participants prior to the study India 53: 11-13.
Jefferson Y. 2004. Facial beauty - establishing a
universal standard. Int J Orthod Milwaukee 15:
9-22.
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ACKNOWLEDGEMENTS
applied to regional Indian population. Natl J
Maxillofac Surg 4: 159-66.
The author thanks Dr. Guruprasad Rao,
Wankhede KP, Kamdi NY, Parchand MP,
Professor Department of Biochemistry, AUA, for
Anjankar VP, Bardale RV. 2012. Estimation of
his help in editing of manuscript.
stature from maxillo-facial anthropometry in a
The author thanks students of AUA who
central Indian population. J Forensic Dent Sci 4:
participated in this study and also to the School
34-37.
of Medicine, American University of Antigua
Yanagi A. 1967. Sequel to the division of gold
(AUA), Antigua, for the financial support.
between the Horyu Temple and Ukioe print: A
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