Salinas Cristina A, Liu Alice, Sharaf Basel A
Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
J Clin Med. 2023 Jul 5;12(13):4499. doi: 10.3390/jcm12134499.
The diversity of patients pursuing facial aesthetic and facial gender-affirming surgery (FGAS) is increasing, yet there is a paucity of objective guidelines to facilitate surgical decision-making in patients of color. We conducted a quantitative analysis of black celebrities using standardized frontal photos of 21 female and 21 male celebrities. Celebrities were chosen from popular entertainment magazines and websites, including People Magazine, the Internet Movie Database (IMDb), Cosmopolitan, and Essence. For each celebrity, 100 facial landmarks were detected through a facial analysis artificial intelligence (AI) program. Black males had greater facial height, bizygomatic width, lower facial height, and bigonial width than females. However, the facial height to bigonial width ratio was similar between genders and approximated the golden ratio (1.618). Female faces demonstrated a greater mid-face height to total facial height proportion, and males had a greater lower facial height proportion. Females exhibited an upward-slanted medial brow and shorter total eyebrow length, nose height, and alar width. Forehead height above the lateral brow was greater in males, while central forehead height was similar to females. This is the first study that has utilized AI to provide ethnicity-specific facial morphometrics relevant to facial rejuvenation and FGAS in the black population.
寻求面部美容和面部性别确认手术（FGAS）的患者多样性正在增加，但缺乏客观的指导方针来促进有色人种患者的手术决策。我们使用21位女性和21位男性名人的标准化正面照片对黑人名人进行了定量分析。名人选自流行的娱乐杂志和网站，包括《人物》杂志、互联网电影数据库（IMDb）、《时尚》杂志和《本质》杂志。对于每位名人，通过面部分析人工智能（AI）程序检测100个面部标志点。黑人男性的面部高度、颧宽、下部面部高度和下颌角宽度均大于女性。然而，面部高度与下颌角宽度之比在性别之间相似，接近黄金比例（1.618）。女性面部中面部高度占总面部高度的比例更大，而男性下部面部高度的比例更大。女性表现出向上倾斜的内侧眉毛以及较短的总眉毛长度、鼻高和鼻翼宽度。男性外侧眉毛上方的额头高度更大，而中央额头高度与女性相似。这是第一项利用人工智能提供与黑人人群面部年轻化和FGAS相关的特定种族面部形态测量学的研究。
