Since 3D-imaging is affected by changes in facial expression, muscle tone and head posture, it is of key importance to minimize such variability to obtain a reproducible 3D-scan. To assess treatment outcomes accurately following facial surgery, pre- and post-treatment 3D-photographs must be captured with the same facial expression 1. Three-dimensional (3D) scanning is a practical method for objective visual comparisons of surgical results. Scanning with a hand-held 3D-scanning device (Artec Space Spider) is a promising tool to assess changes in the periorbital region following surgical treatment since the median deviations are well below the clinically accepted 1 mm measuring error, for both the natural head and fixated positions. The repeated scanning deviations (baseline versus one year data) were well within the accepted clinical threshold of 1 mm. The reproducibility of the 3D processing was excellent (intraclass correlation coefficient > 0.9). The systematic differences when scanning in a natural head position and fixated position were comparable. On assessing the area between the eyelashes and eyebrows, the medians of the average deviations between the various cross-sections of the one minute interval 3D-scans ranged from 0.17 to 0.21 mm at baseline, and from 0.10 to 0.11 mm when the minute-interval scanning was repeated one year later. Two scans were made with a one minute interval and repeated after 1 year for both a natural head position and with the head in a fixation-device. Facial 3D-scans of 15 volunteers were captured at different time points with a handheld Artec Space Spider structured light scanner. The reproducibility of scanning in the periorbital region with 3D technology to enable objective evaluations of surgical treatment in the periorbital region was assessed.
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