• Archives of Plastic Surgery
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• v.33 no.2
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• pp.168-174
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• 2006

For over two thousand years, many artists and scientists have tried to understand or quantify the form of the perfect, ideal, or the most beautiful face both in art and in vivo(life). However, this mathematical relationship has been consistently and repeatedly reported to be present in beautiful things. This particular relationship is referred to as the golden ratio. It is a mathematical ratio of 1.618 : 1 that seems to appear recurrently in beautiful things in nature as well as in other things that are seen as beautiful. Dr. Marquardt made the facial golden mask that contains and includes all of the 1-dimensional and 2-dimensional geometric golden element formed from the golden ratio. The purpose of this study is to evaluate the usefulness of the golden facial mask. In our cases(n=40), the authors applied the facial golden mask to the preoperative and postoperative photographs, and scored each photograph. Compared with the average scores of the facial mask applied photographs and none applied photographs using non-parametric test, statistical significance was not checked (p > 0.05). It means that the facial golden mask can be used for facial analysis. The facial golden mask is easy to apply, cheap and relatively objective. So, the authors introduce the one of useful facial analyses.

• Archives of Plastic Surgery
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• v.35 no.5
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• pp.514-520
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• 2008

Purpose: Many attempts have been made to describe ideal facial proportions for over two thousands year and constantly lasted till now. Dr. Marquardt has derived supposedly ideal facial proportions from the facial golden mask using golden ratio of 1 : 1.618. On the other hand, facial reducing surgeries such as mandible angle reduction are popularized in Asia because the width of mid and lower face of Korean is recognized to be wider. The purpose is to analyze characters of Korean university students' faces in horizontal plane and establish the objective data for facial width distributions and clinical applications. Methods: We applied the facial golden mask to the photographs in 1000 cases, compared the width of mid and lower face between the facial golden mask and Korean university students' faces. And we first calculated the horizontal ratio(HR) of middle and lower face each for using comparative scale of width, facial golden mask. We divided 1,000 cases into 3 groups by degrees of HR and analyzed data of HR on each groups. Using calculated horizontal ratio, we newly invented the cumulative frequency of distribution graphs in Korean university students' faces. Results: Mean data of HR were over 1.0 in all groups, which means that Korean university students' faces are typically wider than facial golden mask in horizontal planes. And this study was statistically significant(p- value < 0.05). Clinically using the cumulative frequency distributions of Korean university students' face width, we can easily explain changes of facial width to patient after facial reducing surgery and describe the changes into objective data. Conclusion: This study concludes thatKorean university students' faces are wider than facial golden mask is significantly true and the cumulative frequency of distribution graphs are expected to be widely used for comparison of results in facial reducing surgery.

• Archives of Plastic Surgery
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• v.36 no.4
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• pp.469-474
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• 2009

Purpose: A lower facial contouring surgery has become a commonly performed procedure in Asia. Currently, mandibular angle sagittal ostectomy and botulinum toxin type A treatment are main procedures for aesthetic correction of a broad lower face. There are a few date to show the differences in the mandibular contouring changes between mandibular angle splitting ostectomy and botulinum toxin type A treatment. Facial golden mask is easy to apply, inexpensive, and relatively objective for evaluation of facial contour analysis. This study was designed specifically to compare the changes in lower face width after two different forms of lower facial contouring procedure using facial golden mask. Methods: Seventeen patients, aged 18 to 55 years (mean, 28.6 years), 15 women and 2 men, consented to the study and receive a contouring procedure of lower face. The patients were classified in to 2 groups. In group A, the sample consisted of 10 patients with a prominent squared mandibular angle and mandibular angle splitting ostectomy was performed. In group B, the sample consisted of 7 patients with masseteric hypertrophy and botulinum toxin type A treatment was performed. Photographs of the face were taken to record the facial change at preoperative and postoperative. The postoperative photographs were taken to considered maximal effect at 2 years after surgery in group A and 4.8 months after treatment in group B. The authors applied the facial golden mask to preoperative and postoperative photographs and horizontal ratio, which compares facial width with golden mask width, were calculated. We made an analysis of the result of horizontal ratio using SPSS. Results: Overall average horizontal ratio of pre- and postoperative photos of group A were 1.24 and 1.11, whereas overall average horizontal ratio of pre- and postoperative photos of group B were 1.19 and 1.12. The horizontal ratio decreased 10.24% in group A and 5.93% in group B. There was a statistically significant change in before and after treatment, but there was no significant change in comparing the group A and group B. Conclusions: The result from this study suggest that mandibular angle sagittal ostectomy and botulinum toxin type A treatment showed relatively satisfactory clinical effects on lower facial contouring treatment. There was no statistical significant difference within two lower facial contouring treatment. Facial golden mask is easy to apply, inexpensive, and relatively objective, so we think that facial golden mask is a good method for evaluation of lower facial contouring treatment.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.34 no.1
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• pp.26-33
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• 2012

Purpose: The golden ratio has been used for a long time to objectify and quantify 'beauty'. Dr. Marqurardt claims that the golden ratio can be applied in the maxillofacial field as well. The purpose of this study was to evaluate the diagnostic significance of using a facial 'phi' mask for analyzing Korean faces with characteristics of Class I, II, and III malocclusion. Methods: We studied twenty five Korean celebrities' frontal facial photos (10 males, 15 females) and 90 malocclusion patients' frontal facial photos (30 patients in each malocclusion classification: Class I, Class II, and Class III). Patients who received orthodontic treatment at Samsung Medical Center were selected for this study. After superimposition of the selected facial photo and facial 'phi' mask using Adobe Photoshop CS3, the ratio of the entire facial area, mid facial area, lower facial area and horizontal and vertical lengths were measured. Results: The facial ratio in photos of Korean faces showed larger vertical and horizontal ratios than the facial 'phi' mask with golden ratio, regardless of skeletal malocclusion (entire face: 115%, lower face: 125% larger than the mask). The results of the frontal photos of Class I, II, and III malocclusion patients using facial 'phi' mask showed that the vertical length and frontal face area was more significantly influenced by the area of the lower face than the midface. This means that the lower face has larger proportions in the facial areas. Conclusion: The ratio of facial 'phi' mask is matched with the ideal facial appearance that the contemporary Korean general public is seeking. Thus, the facial 'phi' mask may be a convenient tool for esthetic analysis of Korean faces. Reducing the area of the lower face is esthetically more desirable for almost all Korean people when planning orthognathic surgery.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.33 no.6
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• pp.490-496
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• 2011

Purpose: Dr. Marquardt made the facial 'phi' mask using golden ratio. Most class III patients have bulky faces and want a smaller face. Using a facial golden mask, this study estimated and compared frontal photographs before and after operation for soft tissue measurement. The golden mask can be considered as a reference tool for facial esthetic analyses especially in lower face. Methods: Forty patients who had undergone orthognathic surgery at Samsung Medical Center from January 2006 to December 2009 were included in this study. These patients had Class III malocclusion. Lateral cephalometric radiographs, frontal clinical photos of pre-op and 8~12 month later post-op, and the facial 'phi' mask using golden ratio, were used for analysis. Reduction of the lower face area, occlusal plane changes, amounts of mandible setback and amounts of maxilla posterior impaction were estimated. Results: Lower facial reduction ratio and mandibular setback amounts were significantly different between 1-jaw and 2-jaw groups. Average postoperative changes in the area of lower face between bilateral sagittal split ramus osteotomy (BSSRO) and BSSRO combined maxilla posterior impaction were compared by using an independent simple t-test and $P$ value was 0.016. Therefore, the lower facial reduction ratio and mandibular setback amount were significantly different in maxilla posterior impaction. Conclusion: The two-jaw surgery group showed more reduction of the lower facial area than the 1-jaw surgery group. The amount of lower facial reduction was more related with the amount of mandibular setback. There was no significant relation in lower facial reduction with amount of maxilla posterior impaction, pre-op occlusal plane, post-op occlusal plane and the mandibular angle. A relationship between the change in the lower facial area and the amount of maxilla posterior impaction or the change of mandibular angle occlusal plane at pre-op could not be found because of the difference in the amount of setback between two groups.