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How to track a 3D point with always the same distance to the tvec and get the 2D image coordinates for that

I have built something similiar to the follwing to track the head:

https://chris.gunawardena.id.au/software-development/webgl/optical-position-tracking-with-opencv-and-aruco-markers/strong text

Lets say i want to know the Position of the nose and track it. How do i get the 2D coordinates on the Image for that?

For Example the nose is 100mm below the marker and 80 mm towards the camera.