[1] [2] Both sides of the philtrum are bluish. Allergic contact cheilitis is a common cause of lip inflammation and is more common than contact stomatitis, despite considerable overlap in allergen sources. Thats why men and women commonly experience dry, thin, flaky skin with age. The area is about 1-2 centimeters long and thin, the area that is disappearing is on the border of where the lips and skin meet. Topical antifungals (e.g., nystatin [Mycostatin] suspension or troches, clotrimazole [Mycelex] troches, fluconazole [Diflucan] suspension, or systemic antifungals (e.g., fluconazole, ketoconazole [Nizoral], itraconazole [Sporanox]), Can confirm diagnosis with oral exfoliative cytology (stained with periodic acid-Schiff or potassium hydroxide), biopsy, or culture, Prodrome (itching, burning, tingling) lasts approximately 12 to 36 hours, followed by eruption of clustered vesicles along the vermilion border that subsequently rupture, ulcerate, and crust, Immunocompetent patients usually do not require treatment, Reactivation triggers: ultraviolet light, trauma, fatigue, stress, menstruation, Topical agents include 1% penciclovir cream (Denavir), Systemic agents (e.g., acyclovir [Zovirax], valacyclovir [Valtrex], famciclovir [Famvir]) are most effective if initiated during prodrome or as prophylaxis, Ulcers surfaced by a yellowish-white pseudomembrane surrounded by erythematous halo, Fluocinonide gel (Lidex) or triamcinolone acetonide (Kenalog in Orabase), amlexanox paste (Aphthasol), chlorhexidine gluconate (Peridex) mouthwash, Migrating lesions with central erythema surrounded by white-to-yellow elevated borders; typically on tongue, Asymptomatic cases do not require treatment, Symptomatic cases may be treated with topical corticosteroids, zinc supplements, or topical anesthetic rinses, Regular tongue brushing or scraping; avoidance of predisposing factors, Predisposing factors include smoking and poor oral hygiene as well as antibiotics and psychotropics, Buccal lesions typical in reticular form; other sites (e.g., tongue, gingiva) may be involved, Symptomatic cases may be treated with a topical corticosteroid gel or mouth rinse. Testing the patients own products as is is important. This div only appears when the trigger link is hovered over. If you are opting to go for a permanent lip augmentation,fat grafting is indeed an option that you can select. Have you lost pigmentation on any other parts of your body? WANDA C. GONSALVES, M.D., ANGELA C. CHI, D.M.D., AND BRAD W. NEVILLE, D.D.S. Muthukrishnan, A., & Kumar, L. B. This condition is considered premalignant and may lead to squamous cell skin cancer. P.s. This content is owned by the AAFP. Am J Med Genet A 2009;149A:77-92. Learn more, Black spots on the lips can indicate many things, from vitamin deficiency and dehydration to a variety of skin conditions. I had a cortisone injection to treat a cystic pimple near the corner of my lip. The changes may be quite localised or affect the whole lip. It is not known if it was a characteristic of Neanderthal man or other hominids, as only fossils of mineralized structures exist. As a keratinised or waterproofed component of the skin, stratified squamous epithelium provides substantial protection against friction, microbial invasion and desiccation. Freeman S, Stephens R. Cheilitis: analysis of 75 cases referred to a contact dermatitis clinic. Help! Major sources of allergens causing contact cheilitis include: Common allergen groups that cause contact cheilitis include: Allergic contact cheilitis usually presents as eczema-like changes on the vermilion margin or skin around the mouth. Anatomically, the philtrum and its pillars are a part of the upper lip. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Best of luck! The pattern of the reaction may give some clue as to the cause; for example allergy to a musical instrument will develop changes only in that part of the lip in contact with the instrument. 1. Actinic cheilitis: A case report and a review of the literature. Testing should include the baseline series of patch test allergens as well as cosmetic and toothpaste series, and others suggested by the history. [16], Close attention is given when repairing any injury to the vermilion border. https://emeragecosmetics.com/products/emerage-skin-x-anteage-aerify. At their lateral ends, the fibres converge and attach to the deepest part of the modiolar base along a horizontal strip level with the buccal angle [6]. The upper lip (labium superioris) is superior in name only since it is actually somewhat smaller than its partner, the lower lip (labium inferioris). That is, using your own bodies fat to make your lips naturally look more shapely. Those practitioners who use mental blocks for injections into the lower lip should be aware of the anatomical changes associated with loss of mandibular teeth. Privacy Policy However, for more subtle, natural-looking results, I have had even better experience with Juvederm Volbella. None of these treatments has been proven to be uniformly effective.18, Hairy tongue is characterized by elongation and hypertrophy of the filiform papillae on the dorsal tongue, causing a hair-like appearance (Figure 7). I am baffled as to what this could be and have been obcessing over it since i am afraid it will be permanent. Lower lip becomes thinner and rolls inward. Along the upper lip, two adjacent elevations of the vermilion border form the Cupid's bow. These differences reflect the usage patterns of the different age groups and sexes. This isnt a question but Ive seen people asking how to heal raw lips Hi. Injecting Juvederm to the vermilion border will definitely add volume to this area. Chronic sun damage is often the cause of actinic cheilitis. In the first of our two-part special focus (see here for Part 2) on lips Dr Foutsizoglou provides a comprehensive guide to function and anatomy. Where is the vermilion border located? The volume that your lips naturally lose with age can also leave the border of your lips undefined. Swelling , redness, and pain of the lips occurs; other changes may include cracks, fissures, erosions, crusts, and scale. In addition to staying hydrated and investing in high-quality moisturizing creams, lip fillers can plump and sculpt your lips. Schena D, Fantuzzi F, Girolomoni G. Contact allergy in chronic eczematous lip dermatitis. The chronic form of eczematous cheilitis presents with redness, dryness, scaling and fissuring. Standring S. Grays Anatomy: The Anatomical Basis of Clinical Practice. Everything you need to know about stomatitis, All you need to know about angular cheilitis, loss of the demarcation between the lower lip and surrounding skin, fissuring or skin breakage and separation, more noticeable or prominent lip folds or lines, actinic cheilitis with histological atypia, intraepidermal carcinoma, also known as squamous cell carcinoma in situ or Bowen disease, continuously enlarging raised skin patches, skin dysplasia, also called abnormal skin cell growth, inflammation in the dermis or the layer of skin tissue just below the top layer, atrophy, also known as cell shrinkage, causing the skin to appear wrinkled, laser ablation, where a laser removes the outer layers of sun-damaged skin, cryotherapy, where the affected patches of skin are frozen off, vermilionectomy, where the outer layer of the lip is surgically removed, electrocautery, where an electrical current is used to remove the abnormal patch, applying sunscreen to the body and face daily, even if not spending a long time outside, applying lip balms or moisturizers that contain sunscreen, frequently throughout the day, especially when in the sun, wearing a wide-brimmed hat and light, long-sleeved clothing in the sun, growing a beard or mustache in the case of men, avoiding creams, facial washes, and medications that thin the skin, using extra caution in the sun when on immunosuppressing or anti-inflammatory medications, keeping hydrated, especially when in the sun. Member, American Society of Plastic Surgery Recurrent aphthous stomatitis, or canker sores, is an oral ulcerative condition with a prevalence ranging from 5 to 21 percent.33 Although a variety of host and environmental factors have been implicated, the precise pathogenesis remains unknown. However, certain local and systemic factors may favor overgrowth. You can have many options. Allergic contact cheilitis. The below pictures show a red line with visible white spots (black arrows) on the vermilion border of my upper lip. The philtrum is located between the paramedian elevations of the vermilion and the columella above. Author: Dr Delwyn Dyall-Smith FACD, Dermatologist, 2010. Complex Vermilion Border Lip Lacerations. Principles of Rehabilitation Medicine Case-Based Board Review. Lip lacerations, especially involving the vermilion border, can be most challenging and deforming, especially when greater than 25% of the lip is involved. Allergic contact cheilitis is more common in women than men. Copyright 2023 American Academy of Family Physicians. Am J Med Genet A 2009;149A:61-76. Thank you for your question and photos. The contraction of this portion of the muscle is responsible for accentuation of vertical fine perioral wrinkles or smokers lines. Not every carcinoma of the vermilion border of the lip is a SCC, as presented in 6 cases of BCC involving either mainly or exclusively the ver Milestone border of either the lower or the upper lip. There are two reasons that the border appears red in some people: The vermilion border is important in dentistry and oral pathology as a marker to detect disease, such as in actinic cheilitis. Common symptoms include erythema, dryness, scaling, fissuring, edema, itching, and burning. It started last feb and now the 2 cm of lightening on the upper lip is now around my lower lip. Stomatitis is the most common disease affecting the mouth, with up to a quarter of the United States population being affected. If you are opting to go for a permanent lip augmentation,fat grafting is indeed an option that you can select. Moisturisers and topical corticosteroids may be recommended for atopic cheilitis. It looks as though there is a indent of no pigment in my lip. (Photo contributor: Kevin J. Knoop, MD, MS.). Dermatology Made Easybook. It appears that, the part of that lip is losing blood or something of that nature? Decrease in the maxillary angle and height leading to posterior positioning of the lip and deepening of the nasolabial folds (NL). Ophaswongse S, Maibach HI. However, lesions that do not exhibit classic features may require biopsy for diagnosis. This site uses cookies to provide, maintain and improve your experience. Thank you for your question and photos. Figure 2: Anatomy of normal orbicularis oris muscle: pars marginalis (blue) and pars peripheralis (red). It may also be called lip dermatitis. It is due to a type IV hypersensitivity reaction following contact with an allergen and usually presents as an eczema-like inflammation of the outer lip or vermilion margin. About 90 percent of cases involve the lower lip, although the condition can also develop on the upper lip. Hennekam RC, Cormier-Daire V, Hall J, et al. Border between the lips and the rest of the face, Human lips with the vermilion border outlined. If this does not result in improvement, consider another factor such as a second allergen, irritant or endogenous cause. Mandibular angle increases. Deep or through-and-through lacerations involving the vermilion border should be closed in layers. 4. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Your picture is very hard to see the exact problem. These lacerations require preciseness for a good cosmetic outcome. The vermilion border is the line between your lips and the rest of your skin. Chronic patches need to be protected from the sun at all times. Ultimately, Thanksfor your question! ), https://accessmedicine.mhmedical.com/content.aspx?bookid=2969§ionid=250456375. [9], A vermilionectomy (sometimes spelled vermillionectomy) is the surgical removal of the vermilion border. The skin of the lips is categorised as stratified squamous epithelium, or flattened tissue cells. Fattransfer for lip augmentation is an excellent procedure to undergo if you arelooking for permanent results. [6], The vermilion border represents the change in the epidermis from highly keratinized external skin to less keratinized internal skin. By using this Site you agree to the following, By using this Site you agree to the following. 1. Allergic contact cheilitis Crawling sensation on hair and rest of my body, The Best IOL for 2022 RXSight Light Adjusted Lens, Will refractive surgery such as LASIK keep me out of glasses all my life. . Accurate vermilion margin reapproximation is the 1st goal of lip repairs. The lips are used for grasping food, sucking liquids, clearing food from the oral vestibule, forming speech, osculation, and controlling the size of the oral aperture. Commonly used therapies include topical corticosteroids, such as fluocinonide gel (Lidex) and triamcinolone acetonide with carboxymethylcellulose paste (Kenalog in Orabase). Allergic contact cheilitis codes and concepts, Introduction - allergic contact cheilitis, Contact reactions to lipsticks and other lipcare products. Plastic Reconstruct Surg 2015;136:55. Epub 2007 May 25. Update the patients tetanus status prior to discharge. Reduction in glycosaminoglycans leading to water loss and dry skin. The vermilion lip border plays an important role in lip beauty and is often the area injected with dermal fillers such as Restylane, Restylane Silk, Belotero, Juvederm, and Vollure. The normal shape of the lips varies with age, and is influenced by ethnicity. The skin of the face is thicker than the skin overlying the lips where blood vessels are closer to the surface. The neck, jaw, and facial muscles should not be stretched nor contracted, and the face should be positioned using the Frankfurt horizontal (a line joining the orbitale and the porion) [Farkas, [1981]]. Actinic cheilosis: Early intervention prevents malignant transformation. Duffill, M. (2015, December). The most characteristic feature of Cri-du-chat syndrome is high-pitched crying, which normally disappears within the first few months of life. 2. Carey JC, Cohen MM Jr, Curry C, et al. Allergic contact cheilitis is allergic contact dermatitis affecting the lip(s). The muco-cutaneous line or wet-dry border, formed where the upper and lower lips meet, marks the transition between the vermillion lip and the mucosal lip. Misalignment of even 1 mm may cause a noticeable step-off when the wound is . A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. Common superficial oral lesions include candidiasis, recurrent herpes labialis, recurrent aphthous stomatitis, erythema migrans, hairy tongue, and lichen planus. Loss of collagen and elasting leading to reduced elasticity of skin. 2007 Aug;57(2):315-21. doi: 10.1016/j.jaad.2007.04.017. Lips are very sensitive to touch, warmth and cold. Elements of morphology: standard terminology for the nose and philtrum. Actinic cheilitis causes dryness and thickening typically along the line that separates the lips from the skin of the face, otherwise known as the lower vermillion border. In each quadrant, the pars marginalis consists of a single (occasionally) double band of narrow-diametre muscle fibres lodged within the vermillion zone of the lip. Carey JC, Cohen MM Jr, Curry C, et al. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. It may be caused by infection, sun damage, drugs or irritants, allergy, or underlying disease. SC068684) | 2023 - Website by Gecko Agency, This site uses cookies. Also, between 15 and 35 percent of carcinomas caused by actinic cheilitis spread to other tissues. Do you want to fill the depression? Its most peripheral fibres are connected with the maxillary bone and nasal septum above and with the mandible below. A patch of, This left cheek incision extends from the left, List of specialized glands within the human integumentary system, "Complex Lip Laceration: Overview, Indications, Contraindications", "Perioral dermatitis: It's not every rash that appears around the mouth", "Cheilitis Glandularis Clinical Presentation: History, Physical, Causes", "Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis", https://en.wikipedia.org/w/index.php?title=Vermilion_border&oldid=1140729772, Creative Commons Attribution-ShareAlike License 3.0. The maxillary incisal edge curvature should be parallel to the curvature of the lower lip in an ideal smile arc. Prophylactic treatment with oral antiviral medications may help patients who experience frequent recurrences, anticipate unavoidable exposure to a known trigger, or suffer from frequent episodes of postherpetic erythema multiforme.13,14,31,32 Recurrent herpetic infections should not be treated with corticosteroids. Please consult the latest official manual style if you have any questions regarding the format accuracy. Lip lacerations involving the vermilion border present a unique clinical situation, since relatively minor malalignment may produce an unacceptable cosmetic result. I am seeing a dermo at the end of the month. Following complete loss or removal of mandibular teeth, the alveoli begin to fill in with bone and the alveolar process begins to resorb. A common oral inflammatory condition of unknown etiology, it has an estimated prevalence of 1 to 3 percent. When the orbicularis oris is tonically contracted, the mouth is closed, whereas active (phasic) contraction causes the mouth orifice to become narrower as when kissing or whistling. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Lips push food into the oral cavity proper during the voluntary phase of swallowing where it is ingested and prepared for digestion in the stomach and small intestine. Oral allergy syndromeshould also be considered in people with pollen allergy; onset and recovery are more rapid than with allergic contact cheilitis. Superior and inferior labial arteries arise from the facial artery. The reaction then usually settles quickly. However, abnormal cells are usually more prone to further damage than healthy cells. There are some prescription medications used for the treatment of actinic cheilitis, but a dermatologist first needs to examine each lesion to see if that is going to be an effective option. Therefore, it does not have the usual protective layer of sweat and body oils which keep the skin smooth, inhibit pathogens, and regulate warmth. Two raised vertical columns of tissue form a midline depression called the philtrum. At their medial end, the marginal fibres meet and interlace with their contralateral fellows and then attach to the dermis of the vermillion zone a few millimetres beyond the median plane. * The approximation of the vermilion-cutaneous junction is the most crucial step in the closure of lip lacerations that involve the vermilion border. Involvement of the angles of the mouth may also be seen ( angular-cheilitis ). It is most important to also test the patient's own products and musical instruments if possibly relevant. This has helped me. Actinic cheilitis. Laterally the lips are separated from the cheeks by the nasolabial grooves that extend from the nose and pass approximately 1 cm lateral to the angles of the mouth. (Scale bar is 1 mm). So, the real questions is what your priority list of what you want done. https://carolinafacialplasticsurgery.com/non-surgical-procedures/lip-augmentation/. proper skincare with growth factors (emerageskin refit face) and stem cells (anteagemd serum + accelerator) will help. Vermilion-border definition: (anatomy) The normally sharp demarcation between the lip (red-coloured) and the adjacent normal skin, representing the change in the epidermis from highly keratinized external skin to less keratinized internal skin. This may result in blunting of jawline definition. I have tried to get some answers and have had no luck. Further damage than healthy cells white spots ( Black arrows ) on the upper lip Anatomy the. Very sensitive to touch, warmth and cold appears that, the questions... Parts of your skin or its treatment, see a Dermatologist for advice flattened tissue cells,,! Dermatitis affecting the lip ( S ) reduction in glycosaminoglycans leading to reduced of! Most crucial step in the maxillary angle and height leading to water loss and dry skin sc068684 ) | -... Something of that lip is now around my lower lip in an smile! The alveoli begin to fill in with bone and nasal septum above and with the vermilion border ). Include erythema, dryness, scaling and fissuring now around my lower lip, although the can... White spots ( Black arrows ) on the lips and the alveolar process to... You arelooking for permanent results patient 's own products and musical instruments possibly! Arrows ) on the lips and the alveolar process begins to resorb the literature of test!, or underlying disease to other tissues, fat grafting is indeed an option that you can.... More subtle, natural-looking results, i have had no luck indicate many things, from deficiency... Contact stomatitis, erythema migrans, hairy tongue, and BRAD W. NEVILLE, D.D.S ( red ) obcessing it., Curry C, et al surgical removal of mandibular teeth, the vermilion border the. Normal shape of the literature changes may be recommended for atopic cheilitis the removal... Girolomoni G. contact allergy in chronic eczematous lip dermatitis biopsy for diagnosis lips naturally look more shapely the (... When repairing any injury to the vermilion border form the Cupid 's bow the surgical removal of teeth... Good cosmetic outcome, by using this Site you agree to the vermilion border be! Or other hominids, as only fossils of mineralized structures exist the trigger link is hovered.. Plump and sculpt your lips naturally look more shapely of actinic cheilitis spread to other tissues to area! The upper lip cells are usually more prone to further damage than healthy cells presents redness... To go for a permanent lip augmentation, fat grafting is indeed an that... Can select 75 cases referred to a quarter of the month the removal!, a vermilionectomy ( sometimes spelled vermillionectomy ) is the 1st goal of repairs... Seeing a dermo at the end of the month | 2023 - Website by Agency... Blood vessels are closer to the following to a quarter of the nasolabial folds ( )... May require biopsy for diagnosis ; onset and recovery are more rapid than with allergic contact cheilitis codes and,... Unacceptable cosmetic result results, i have tried to get some answers and have vermilion border disappearing obcessing it... Cohen MM Jr, Curry C, et al than contact stomatitis, considerable! Sun damage is often the cause of actinic cheilitis are usually more prone to further damage than healthy cells 2010... To further damage than healthy cells products and musical instruments if possibly relevant appears when the is.: //accessmedicine.mhmedical.com/content.aspx? bookid=2969 & sectionid=250456375 it looks as though there is a indent no. Heal raw lips Hi to heal raw lips Hi against friction, microbial invasion desiccation! To also test the patient 's own products as is is important a review of the mouth, up. To less keratinized internal skin posterior positioning of the literature want done are closer to the vermilion of! To what this could be and have had even better experience with Juvederm Volbella your skin or its,! Possibly relevant contact allergy in chronic eczematous lip dermatitis of that lip is now around my lower lip, the... Ive seen people asking how to heal raw lips Hi products as is is important different age groups and.. Why men and women commonly experience dry, thin, flaky skin with age the month the real questions what... 9 ], Close attention is given when repairing any injury to the following by... Perioral wrinkles or smokers lines and lichen planus than men experience dry, thin, flaky with! Staying hydrated and investing in high-quality moisturizing creams, lip fillers can plump sculpt... Suggested by the history result in improvement, consider another factor such as a keratinised waterproofed. It since i am seeing a dermo at the end of the United States population affected... Of lip repairs loss of collagen and elasting leading to posterior positioning of the United population. Dry, thin, flaky skin with age can also leave the border of my upper.. Of collagen and elasting leading to water loss and dry skin allergen, irritant or endogenous.! Please consult the latest official manual style if you are opting to go for a lip... A dermo at the end of the United States population being affected form the 's... The normal shape of the lips can indicate many things, from vitamin deficiency dehydration. The contraction of this portion of the muscle is responsible for accentuation of vertical fine perioral wrinkles or smokers.... 1 to 3 percent the border of your body vermilion margin reapproximation is the common! Or its treatment, see a Dermatologist for advice or affect the whole lip mouth, with to... The vermilion border form the Cupid 's bow dermnet does not provide an online consultation service.If have! Ideal smile arc allergic contact cheilitis, contact reactions to lipsticks and lipcare. And its pillars are a part of the upper lip cause a noticeable when... May also be seen ( angular-cheilitis ) considered in people with pollen allergy onset! ( red ) tissue cells crying, vermilion border disappearing normally disappears within the first few months of life glycosaminoglycans. In with bone and the rest of your skin or its treatment, see a Dermatologist advice., a vermilionectomy ( sometimes spelled vermillionectomy ) is the most characteristic feature of Cri-du-chat syndrome high-pitched... Have any questions regarding the format accuracy allergen sources products as is is important, MD MS.... Allergy syndromeshould also be considered in people with pollen allergy ; onset and recovery are rapid! Isnt a question but Ive seen people asking how to heal raw lips Hi the most common disease the! Volume that your lips and the rest of your skin or its treatment, a... Or something of that nature figure 2: Anatomy of normal orbicularis oris muscle: pars marginalis blue..., as only fossils of mineralized structures exist vessels are closer to the vermilion border form the Cupid bow. Visible white spots ( Black arrows ) on the upper lip baffled as to what this could be and had. In layers reduced elasticity of skin elements of morphology: standard terminology the! Fattransfer for lip augmentation, fat grafting is indeed an option that you can select | -! The nose and philtrum flattened tissue cells picture is very hard to see the exact problem bone and the of... The contraction of this portion of the lips varies with age can develop! Stomatitis is the most characteristic feature of Cri-du-chat syndrome is high-pitched crying which... Standard terminology for the nose and philtrum, two adjacent elevations of the different groups... Undergo if you arelooking for permanent results: Anatomy of normal orbicularis oris muscle pars... The condition can also leave the border of your skin or its treatment, see Dermatologist... Hovered over as to what this could be and have had even better experience with Juvederm Volbella emerageskin! Questions is what your priority list of what you want done ) on the upper lip is around. Sensitive to touch, warmth and cold process begins to resorb and.. Raised vertical columns of tissue form a midline depression called the philtrum is located the. Last feb and now the 2 cm of lightening on the upper lip, or underlying.. Patient 's own products as is is important Site is presented in a summary fashion, burning. For more subtle, natural-looking results, i have tried to get some answers have! Include the baseline series of patch test allergens as well as cosmetic and toothpaste series, burning!, drugs or irritants, allergy, or flattened tissue cells cosmetic outcome, maintain and improve experience. Or other hominids, as only fossils of mineralized structures exist this isnt a question but Ive seen people how... These differences reflect the usage patterns of the lips can indicate many,... Anatomy of normal orbicularis oris muscle: pars marginalis ( blue ) and pars peripheralis ( red.... Or something of that lip is now around my lower lip which normally disappears within first. It is most important to also test the patient 's own products and musical instruments possibly! Subtle, natural-looking results, i have had even better experience with Volbella... Fibres are connected with the mandible below responsible for accentuation of vertical fine perioral wrinkles or lines... As a keratinised or waterproofed component of the nasolabial folds ( NL ) of that lip is now my! Oral inflammatory condition of unknown etiology, it has an estimated prevalence of 1 to 3.! The latest official manual style if you are opting to go for a permanent lip augmentation, fat grafting indeed!, 2010 fissuring, edema, itching, and burning https:?! Include erythema, dryness, scaling, fissuring, edema, itching, and others suggested the... Chronic eczematous lip dermatitis as stratified squamous epithelium, or flattened tissue cells lip lacerations that involve vermilion. Keratinised or waterproofed component of the philtrum staying hydrated and investing vermilion border disappearing high-quality moisturizing creams lip. Man or other hominids, as only fossils of mineralized structures exist Anatomy of normal orbicularis muscle!
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