Published : 29 September 2025

Assessing Ideal Lip Anatomy Through Photogrammetry: Implications For Facial Reconstruction In Indonesia

  • Gede Wara Samsarga
  • Shita Diwyani Sudarsa
  • Astrinita Lestari Suyata
  • Bertha Kawilarang
  • Violetti Valentin
  • Luh Putu Mettary Yasoda Gera

Volume 12, Issue 2, Jurnal Plastik Rekonstruksi | Pages : 76-83

DOI: 10.14228/jprjournal.v12i2.31   Reader : 60 times PDF Download : 22 times

Abstract

Background : Anthropometry is a non-invasive, inexpensive, and objective method for evaluating orofacial morphology. This method has clinical applications in myofunctional assessment and therapy. Photogrammetry is a reliable and accurate method for measuring certain facial dimensions. In Indonesia, to date there has been no research that has conducted a photogrammetric evaluation of lip anthropormetry.


Method : This study was conducted at the Faculty of Medicine, Udayana University which began in May to October 2024 with research subjects, namely 90 first-year undergraduate medical students, Faculty of Medicine, Udayana University. Data in the form of anthropometry, race, history of congenital abnormalities, facial trauma, siliconoma, age, gender and smoking were recorded and then analyzed.


Result : The results of the analysis of lip anthropometry based on gender showed a significant difference in lower lip height, where in women the average was 3.25 (0.36) and in men 3.01 (0.30), with a p value of 0.001. Likewise, the lower lip height was found to be significantly different with a p value = 0.003. Upper vermilion height in women was 1.51 (0.35) while in men it was 1.36 (0.25), these results were statistically significant (p value = 0.041). However, the comparison of lower vermillion did not show any significant difference between the two groups. Cutaneous lower lip and philtrum width were also significantly different with p values of 0.004 and 0.015, respectively.


Conclusion: The results of this study are expected to provide an overview of the analysis of anthropometric measurements of the lips using the photogrammetry method as basic data for measuring ideal lip anatomy in the field of facial reconstruction in Indonesia.


Keywords: Anthropometric Measurement Of The Lip; Photogrammetry; Facial Reconstruction

Data Availability

All data generated during this study are included in this published article [and its supplementary information files].

References

  1. 1. de Queiroz Hernandez PM, Cotrin P, Valarelli FP, de Oliveira RCG, Bispo CGC, Freitas KMS, et al. Evaluation of the attractiveness of lips with different volumes after filling with hyaluronic acid. Sci Rep [Internet]. 2023 Dec 1 [cited 2025 Mar 5];13(1):4589. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC10030776/
  2. 2. Arian H, Alroudan D, Alkandari Q, Shuaib A. Cosmetic Surgery and the Diversity of Cultural and Ethnic Perceptions of Facial, Breast, and Gluteal Aesthetics in Women: A Comprehensive Review. Clin Cosmet Investig Dermatol [Internet]. 2023 [cited 2025 Mar 5];16:1443–56. Available from: https://pubmed.ncbi.nlm.nih.gov/37313510/
  3. 3. Kwon SH, Lao WWK, Lee CH, Hsu ATW, Koide S, Chen HY, et al. Experiences and attitudes toward aesthetic procedures in East Asia: a cross-sectional survey of five geographical regions. Arch Plast Surg [Internet]. 2021 [cited 2025 Mar 5];48(6):660. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8627936/
  4. 4. Kibadi AK, Madiya BT, Kibadi AK, Madiya BT. Anthropometric Characteristics of Beautiful Lips in a Population of Young Negroid Students: Pilot Survey. Open Access Library Journal [Internet]. 2023 Jun 6 [cited 2025 Mar 5];10(6):1–8. Available from: https://www.scirp.org/journal/paperinformation?paperid=125470
  5. 5. Lim YC, Abdul Shakor AS ad, Shaharudin R. Reliability and Accuracy of 2D Photogrammetry: A Comparison With Direct Measurement. Front Public Health [Internet]. 2022 Jan 25 [cited 2025 Mar 5];9:813058. Available from: www.frontiersin.org
  6. 6. Chong Y, Dong R, Liu X, Wang X, Yu N, Long X. Stereophotogrammetry to reveal age‐related changes of labial morphology among Chinese women aging from 20 to 60. Skin Research and Technology [Internet]. 2020 Jan 1 [cited 2025 Mar 5];27(1):41. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7984336/
  7. 7. Al-Khatib AR, Rajion ZA, Masudi SM, Hassan R, Anderson PJ, Townsend GC. Stereophotogrammetric analysis of nasolabial morphology among Asian Malays: influence of age and sex. Cleft Palate Craniofac J [Internet]. 2012 [cited 2025 Mar 5];49(4):463–71. Available from: https://pubmed.ncbi.nlm.nih.gov/22236217/
  8. 8. Boesoirie SF, Handayani R, Gatera VA, Boesoirie TS, Aroeman NA. Determination of the Difference Between Men and Women Anthropometry Auricles Using Photogrammetric Method in Sundanese Ethnic Group. Clin Cosmet Investig Dermatol [Internet]. 2022 [cited 2025 Mar 5];15:2133–41. Available from: https://pubmed.ncbi.nlm.nih.gov/36217409/
  9. 9. de Queiroz Hernandez PM, Cotrin P, Valarelli FP, de Oliveira RCG, Bispo CGC, Freitas KMS, et al. Evaluation of the attractiveness of lips with different volumes after filling with hyaluronic acid. Sci Rep [Internet]. 2023 Dec 1 [cited 2025 Mar 5];13(1). Available from: https://pubmed.ncbi.nlm.nih.gov/36944639/
  10. 10. Skomina Z, Verdenik M, Hren NI. Effect of aging and body characteristics on facial sexual dimorphism in the Caucasian Population. PLoS One [Internet]. 2020 May 1 [cited 2025 Mar 5];15(5):e0231983. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0231983
  11. 11. Bertucci V, Nikolis A, Solish N, Lane V, Hicks J. Subject and partner satisfaction with lip and perioral enhancement using flexible hyaluronic acid fillers. J Cosmet Dermatol [Internet]. 2021 May 1 [cited 2025 Mar 5];20(5):1499–504. Available from: https://pubmed.ncbi.nlm.nih.gov/33522714/
  12. 12. Kale B, Buyukcavus MH. Comparison of three-dimensional soft-tissue evaluations between skeletal and pseudo-class III malocclusions. Scientific Reports 2020 10:1 [Internet]. 2020 Sep 7 [cited 2025 Mar 5];10(1):1–11. Available from: https://www.nature.com/articles/s41598-020-71772-7
  13. 13. Yong Kim S, Bayome M, Hyun Park J, Kook YA, Hee Kang J, Hyuk Kim K, et al. Evaluation of the facial dimensions of young adult women with a preferred facial appearance. Korean J Orthod [Internet]. 2015 Sep 1 [cited 2025 Mar 5];45(5):253. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4593870/
  14. 14. Hwang K, Kim YS, Kim H. Perceptions of Attractive and Healthy-Looking Lips. J Craniofac Surg [Internet]. 2019 Mar 1 [cited 2025 Mar 5];30(2):596–603. Available from: https://pubmed.ncbi.nlm.nih.gov/30550445/
  15. 15. Sforza C, Grandi G, Binelli M, Dolci C, De Menezes M, Ferrario VF. Age- and sex-related changes in three-dimensional lip morphology. Forensic Sci Int [Internet]. 2010 [cited 2025 Mar 5];200(1–3):182.e1-182.e7. Available from: https://pubmed.ncbi.nlm.nih.gov/20570070/
  16. 16. Hasibuan LY, Prasetyo AT, Pramono GNTW. Enhancing Aesthetic Harmony: Comprehensive Anthropometric Lip Measurements in Youthful and Attractive Indonesian Adults for Precision Cosmetic Procedures. JPRAS Open [Internet]. 2023 Mar 1 [cited 2025 Mar 5];39:198–206. Available from: https://pubmed.ncbi.nlm.nih.gov/38293286/
  17. 17. Bahşi I, Orhan M, Kervanciogˇlu P, Uçar H, Karatepe Ş, Sayin S. Lip Anthropometry of Healthy Turkish Young Adults. J Craniofac Surg [Internet]. 2022 Mar 1 [cited 2025 Mar 5];33(2):696–700. Available from: https://pubmed.ncbi.nlm.nih.gov/34310423/
  18. 18. Farkas LG. Anthropometry of the head and face. 1994 [cited 2025 Mar 5];405. Available from: https://search.worldcat.org/title/29793741
  19. 19. A New Classification of Indonesia’s Ethnic Groups (Based on the 2010 Population Census). [cited 2025 Mar 5]; Available from: www.iseas.edu.sg
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Keywords

  • Anthropometric Measurement of The Lip
  • Photogrammetry
  • Facial Reconstruction

Author Information

Gede Wara Samsarga

Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine/ Udayana University Hospital, Bali, Indonesia.

Email: warasamsarga@unud.ac.id

ORCID : https://orcid.org/0000-0002-2042-4842

Shita Diwyani Sudarsa

Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine/ Udayana University Hospital, Bali, Indonesia.

Email: shitadiwyanisudarsa@gmail.com

ORCID : https://orcid.org/0009-0003-0756-7560

Astrinita Lestari Suyata

Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine/ Udayana University Hospital, Bali, Indonesia.

Email: astrisuyata@yahoo.com

ORCID : https://orcid.org/0000-0001-5059-073X

Bertha Kawilarang

Resident of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine Udayana University, Bali, Indonesia.

Email: berthakawilarang12@gmail.com

ORCID : https://orcid.org/0000-0002-4354-9533

Violetti Valentin

Resident of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine Udayana University, Bali, Indonesia.

Email: violettivalentin@gmail.com

ORCID : https://orcid.org/0000-0002-7075-1585

Luh Putu Mettary Yasoda Gera

Resident of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine Udayana University, Bali, Indonesia.

Email: gera@gmail.com

ORCID : https://orcid.org/0000-0001-8161-8029

Article History

Submitted : 27 March 2025
Revised : 27 March 2025
Published : 29 September 2025

How to Cite This

Samsarga, G. W., Sudarsa, S. D., Suyata, A. L., Bertha Kawilarang, Valentin, V., & Gera, L. P. M. Y. (2025). Assessing Ideal Lip Anatomy Through Photogrammetry: Implications For Facial Reconstruction In Indonesia. Jurnal Plastik Rekonstruksi, 12(2), 76–83. https://doi.org/10.14228/jprjournal.v12i2.31

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