Craniofacial surgery requires reconciliation of several factors for deformity reconstruction and aesthetic enhancement. Here, we present data in developing a racially and ethnically sensitive anthropomorphic database to provide plastic and craniofacial surgeons with a set of “normal” anatomic measurements to optimize aesthetic and reconstructive outcomes. Images were used to construct composite (template) images with Advanced Normalization Tools (ANTs) and Greedy Tools. Composite templates demonstrated age-appropriate anatomic measurements as proof of concept. Application of diffeomorphic algorithms via ANTs to MRI is effective in developing composite templates representing “normal” soft tissue anatomy, which may aid in objectively quantifying anatomic abnormality.
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