FaceOSC is a tool for prototyping face-based interaction. It's built on non-commercial open source FaceTracker code from Jason Saragih. Download it here:
https://github.com/kylemcdonald/ofxFaceTracker/releases
FaceOSC comes as an example app with the ofxFaceTracker addon for openFrameworks.
OSCulator is an excellent program for routing OSC and MIDI. Download it at http://www.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:
http://vimeo.com/26188365
http://vimeo.com/26161519
http://vimeo.com/26301657
http://vimeo.com/26475997
http://youtube.com/watch?v=ArG3t_OOYis