FaceOSC is a tool for prototyping face-based interaction. It's built on non-commercial open source FaceTracker code from Jason Saragih.
FaceOSC comes as an example app with the ofxFaceTracker addon for openFrameworks. You can download an OSX 10.5+ binary at github.com/downloads/kylemcdonald/ofxFaceTracker/FaceOSC.zip
OSCulator is an excellent program for routing OSC and MIDI. Download it at osculator.net/
Some of the "face gestures" (or metrics) are more stable than others. Lighting can also have a huge influence on the stability of your values: even lighting from the front coupled with a dark background can give the best results.
Some of the first demos from others:
vimeo.com/26188365
vimeo.com/26161519
vimeo.com/26301657
vimeo.com/26475997
youtube.com/watch?v=ArG3t_OOYis