Evaluation of anthropometric facial landmarks in woman with Blepharophimosis, Ptosis, and Epicanthus Inversus Syndrome (BPES)

Introduction: Blepharophimosis, ptosis, and epicanthus inversus syndrome (BPES) is a syndrome easily recognized by facial appearance. In this sense, the facial anthropometry is a simple and non-invasive way to evaluate the morphology of the facial surface of individuals, thus, defining the craniofacial dimensions. Objective: To evaluate the facial anthropometric measurements of a Caucasian female, aged 20 years, diagnosed with BPES and to compare these measures with the values described in the literature for non-syndromic woman.Material and methods: This research is an observational study of a Caucasian female, aged 20 years, who was diagnosed with BPES. Frontal photographs were taken, and the images analyzed by nine researchers calibrated in Image J® software. The facial measurements evaluated were head, face, orbits, nose, and labio-oral region and were compared with non-syndromic woman. Results: All vertical and horizontal face measurements were higher than that of otherfemales from Caucasian groups. BPES woman also presented bilateral ptosis and the main differences appear in the region of the orbits. Conclusion: The anthropometric facial analysis of BPES woman showed a significant change in the facial landmarks.