Facial Plast Surg 2020; 36(03): 281-289
DOI: 10.1055/s-0040-1712163
Original Research
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Morphological Classification of the Zygomatic Regions in Young Chinese Han Males and Females Based on a Simulated Moiré Pattern

1   Department of Plastic and Reconstructive Surgery, Peking University Third Hospital, Beijing, China
,
Lujia Chen
1   Department of Plastic and Reconstructive Surgery, Peking University Third Hospital, Beijing, China
,
Ning Feng
1   Department of Plastic and Reconstructive Surgery, Peking University Third Hospital, Beijing, China
,
Siqiao Wu
1   Department of Plastic and Reconstructive Surgery, Peking University Third Hospital, Beijing, China
,
Jianfang Zhao
1   Department of Plastic and Reconstructive Surgery, Peking University Third Hospital, Beijing, China
,
Dong Li
1   Department of Plastic and Reconstructive Surgery, Peking University Third Hospital, Beijing, China
› Author Affiliations
Further Information

Publication History

Publication Date:
03 June 2020 (online)

Abstract

The complex curved contours of the zygomatic regions are difficult to analyze. Therefore, a better evaluation medium must be developed. We aimed to examine and summarize the morphological characteristics of the zygomatic region by using a moiré pattern map and computer algorithm. In this cross-sectional study, we collected three-dimensional images of the facial contours of 251 Han Chinese youth and established a morphological moiré map database. Clustering analysis using a computer algorithm was applied to obtain the zygomatic morphologies for classification. Aesthetic evaluation was performed to summarize the characteristics of the zygomatic types and provide reference for the preoperative morphological design of the midface. Zygomatic regions were morphologically classified into five types. Each type had its typical feature in the moiré pattern map. The moiré stripes in the left zygomatic region formed an “Ω” shape outward and downward in type 1, and they tended to be diagonal like “\\\” in type 2, smoothly curved like “)))” in type 3, vertical like “|||” in type 4, and diagonal like “///” in type 5. The aesthetic evaluation outcome indicated that the integrally flat zygoma (type 4) was more aesthetically pleasing among males, and the integrally prominent zygoma (type 3) was more aesthetically pleasing among females. Five morphological contour types of the zygoma were classified among the Chinese Han males and females based on the simulated moiré pattern. This morphological classification would aid in preparing a guide for clinical diagnosis and surgical planning.

 
  • References

  • 1 Antoun JS, Lawrence C, Leow A, Rongo R, Dias G, Farella M. A three-dimensional evaluation of Māori and New Zealand European faces. Aust Orthod J 2014; 30 (02) 169-175
  • 2 Talbert L, Kau CH, Christou T, Vlachos C, Souccar N. A 3D analysis of Caucasian and African American facial morphologies in a US population. J Orthod 2014; 41 (01) 19-29
  • 3 Othman SA, Majawit LP, Wan Hassan WN, Wey MC, Mohd Razi R. Anthropometric study of three-dimensional facial morphology in Malay adults. PLoS One 2016; 11 (10) e0164180
  • 4 Sforza C, Laino A, D'Alessio R, Dellavia C, Grandi G, Ferrario VF. Three-dimensional facial morphometry of attractive children and normal children in the deciduous and early mixed dentition. Angle Orthod 2007; 77 (06) 1025-1033
  • 5 Koudelová J, Hoffmannová E, Dupej J, Velemínská J. Simulation of facial growth based on longitudinal data: age progression and age regression between 7 and 17 years of age using 3D surface data. PLoS One 2019; 14 (02) e0212618
  • 6 Sforza C, Laino A, D'Alessio R. , et al. Three-dimensional facial morphometry of attractive Italian women. Prog Orthod 2007; 8 (02) 282-293
  • 7 Takasaki H. Moiré topography. Appl Opt 1970; 9 (06) 1467-1472
  • 8 Moran AJ, Lipczynski RT. Automatic digitization and analysis of moiré topograms on a personal computer for clinical use. Med Eng Phys 1994; 16 (03) 259-264
  • 9 Donofrio L, Carruthers A, Hardas B. , et al. Development and validation of a photonumeric scale for evaluation of facial skin texture. Dermatol Surg 2016; 42 (Suppl. 01) S219-S226
  • 10 Jin Y, Li W, Yang Y. The effects of orthodontic treatment on cheek fullness in adult women. Chin J Orthod 2015; 22: 24-27
  • 11 Yuen K, Inokuchi I, Maeta M, Kawakami SI, Masuda Y. Evaluation of facial palsy by moiré topography index. Otolaryngol Head Neck Surg 1997; 117 (05) 567-572
  • 12 Kawai T, Natsume N, Shibata H, Yamamoto T. Three-dimensional analysis of facial morphology using moiré stripes. Part I. Method. Int J Oral Maxillofac Surg 1990; 19 (06) 356-358
  • 13 Shen YH, Shieh TY. [The application of Moiré topography in analysis of face among Taiwanese adults]. Gaoxiong Yi Xue Ke Xue Za Zhi 1995; 11 (06) 339-352
  • 14 Rhee SC, Koo SH. An objective system for measuring facial attractiveness. Plast Reconstr Surg 2007; 119 (06) 1952-1953 , author reply 1953–1954
  • 15 Rho NK, Chang YY, Chao YY. , et al. Consensus recommendations for optimal augmentation of the Asian face with hyaluronic acid and calcium hydroxylapatite fillers. Plast Reconstr Surg 2015; 136 (05) 940-956