Purpose : The objective of this study was to supply information about normal sex-related dimensions of the mouth area and lips among contemporary Bulgarian population (linear distances, ratios, angles, area, volume) and compare the results with other populations.
Materials and methods : The three-dimensional coordinates of several soft-tissue landmarks on the lips and mouth were obtained by a non-invasive method with FastSCAN in 16 male and 23 female healthy subjects aged 21-35 years. From the landmarks, linear distances (mouth width, width of the philtrum, vermilion heights of the upper, lower and total lips, total lip height), the vermilion height-to-mouth width ratio, areas (vermilion of the upper, lower and total lip) and volumes (upper, lower, and total lip volume) were calculated and averaged for sex.
Results : Comparisons were performed by SPSS 17.0. Data collected in the present investigation could serve as a database for the quantitative description of human lip morphology during normal growth, development and aging. Conclusion. Forensic applications (evaluations of trauma, craniofacial alterations, teratogenic- induced conditions, facial reconstruction, aging of living and dead persons, personal identification) may also benefit from age- and sex-based data banks.
Akguël, A. A., T. U. Toygar. Natural craniofacial
changes in the third decade of life: a longitudinal
study.- Am. J. Orthod. Dentofacial Orthop., 122,
, 512-522.
Caisey, L., E. Gubanova, C. Camus, N. Lapatina,
V. Smetnik, J. L. Leґveˆque. Influence of age and
hormone replacement therapy on the functional
properties of the lips.- Skin Res. Technol., 14, 2008,
-225.
Coleman, S. R., R. Grover. The anatomy of
the aging face: volume loss and changes in
-dimensional topography.- Aesthetic Surg. J., 26,
, S4-S9.
De Angelis, D., R. Sala, A. Cantatore, M. Grandi,
C. Cattaneo. A new computerassisted technique to
aid personal identification.- Int. J. Legal Med., 123,
, 351-356.
Farkas, L. G., T. A. Hreczko, M. J. Katic.
Craniofacial norms in North American Caucasians
from birth (one year) to young adulthood.
Anthropometry of the Head and Face, Raven Press,
New York, 1994, 302-313.
Ferrario, V. F, C. Sforza, J. H. Schmitz, V. Ciusa,
A. Colombo. Normal growth and development
of the lips: a 3-dimensional study from 6 years to
adulthood using a geometric model.- J. Anat., 196,
, 415-423.
Ferrario, V. F., C. Sforza, G. Serrao, V. Ciusa, C.
Dellavia. Growth and aging of facial soft-tissues:
a computerised three-dimensional mesh diagram
analysis.- Clin. Anat., 16, 2003, 420-433.
Fraser, N. L., M. Yoshino, K. Imaizumi, S. A.
Blackwell, C. D. Thomas, J. G. Clement. A Japanese
computer-assisted facial identification system
successfully identifies non-Japanese faces.- Forensic
Sci. Int., 135, 2003, 122-128.
Gualdi-Russo, E. Longitudinal study of
anthropometric changes with aging in an urban
Italian population.- Homo, 49, 1998, 241-259.
Iblher, N., L. Kloepper, V. Penna, J. P. Bartholomae,
G. B. Stark. Changes in the aging upper lip-a
photomorphometric and MRI-based study (on a
quest to find the right rejuvenation approach).- J.
Plast. Reconstr. Aesthet. Surg., 61, 2008, 1170-1176.
Ito, I., M. Imada, M. Ikeda, K. Sueno, T. Arikuni,
A. Kida. A morphological study of age changes
in adult human auricular cartilage with special
emphasis on elastic fibers.- Laryngoscope, 111,
, 881-886.
Leґvêque, J. L., E. Goubanova. Influence of age on
the lips and perioral skin. -Dermatology, 208, 2004,
-313.
Mamandras, A. H.. Growth of lips in two
dimensions: a serial cephalometric study.- Am. J.
Orthod., 86, 1984, 61-66.
Mamandras, A. H. Linear changes of the maxillary
and mandibular lips.- Am. J. Orthod. Dentofacial
Orthop., 94, 1988, 405-410.
Penna, V., G. B. Stark, S. U. Eisenhardt, H.
Bannasch, N. Iblher. The aging lip: a comparative
histological analysis of age-related changes in the
upper lip complex.- Plast. Reconstr. Surg., 124,
, 624-628.
Roelofse, M. M., M. Steun, P. J. Becker. Photo
identification: facial metrical and morphological
features in South African males.- Forensic Sci. Int,
, 2008, 168-175.
Sforza, C., G. Grandi, F. Catti, D. G. Tommasi, A.
Ugolini, V. F. Ferrario. Age- and sexrelated changes
in the soft tissues of the orbital region.- Forensic
Sci. Int., 185, 2009, 115.e1-115.e8.
Sforza, C., G. Grandi, M. Binelli, D. G. Tommasi,
R. Rosati, V. F. Ferrario. Age- and sexrelated
changes in the normal human ear.- Forensic Sci.
Int., 187, 2009, 110.e1-110.e7.
Sforza, C., G. Grandi, M. Binelli, D. G. Dolci, M.
De Menezes, V. F. Ferrario. Age- and sexrelated
changes in in three-dimensional lip morphology.-
Forensic Sci. Int, 200, 2010, 182.e1-182.e7.
Zhu, L. Y., T. Meng, B. Shi, D. Z. Deng.
Anthropometric study of the upper lip of 1500
healthy children in Chengdu Western China.- Br. J.
Oral Maxillofac. Surg., 46, 2008, 554-560.