Background: The vermilion border of the lower lip is a frequent location of squamous cell carcinoma (SCC), but it is very rarely mentioned within the published series of basal cell carcinomas (BCCs . . Moisturizers and staying hydrated can often help reduce symptoms of dryness. 7. However, that ratio can vary dramatically with ethnic background, and even from individual to individual within the same ethnic group. Pars peripheralis fibres are reinforced directly by the buccinator, levator anguli oris, and the superficial part of zygomaticus major in the upper lip, and from buccinators and depressor anguli oris in the lower lip. If the wound repair does cross the vermillion border and reaches into the skin surrounding the lips, code 40652, Repair lip, full thickness; up to half vertical height, or code 40654, Repair lip, full thickness; over one-half vertical height, or complex, may be reported instead. Decreased display of the maxillary anterior teeth. Hennekam RC, Cormier-Daire V, Hall J, et al. Brown DL, Borschel GH. Note that this may not provide an exact translation in all languages, Home [4], It has been described as a pale, white rolled border and also as being a red line. In severe cases, the affected tissues may need to be removed. Patch testing is very useful in eczematous cheilitis as at least one-quarter of cases involve an allergic reaction. Randomized controlled trials have demonstrated fluconazole suspension to be more effective than nystatin in normal and immunocompromised children.7 Systemic agents such as fluconazole, ketoconazole (Nizoral), and itraconazole (Sporanox) may be used for patients who have candidiasis refractory to topical therapy, are intolerant of topical agents, or are at high risk of developing systemic infection.8,9. Read our. They are located 1mm posterior to the mucocutaneous border or white roll the transition between the mucosa and skin of the lip. In newborn infants the inner surface is much thicker, with sebaceous glands and minute projections called papillae. The surface of the lip is comprised of four zones: hairy skin, vermilion border, vermilion and oral mucosa. However, lesions that do not exhibit classic features may require biopsy for diagnosis. The lips form an integral part of facial expression e.g. The angle of the mouth is often also involved (angular cheilitis). Vermilion Border. 2010. Outlining the vermilion borders of the upper and lower lips is a 2 to 3 mm pale convexity known as the white roll, formed by the bulging of the orbicularis oris muscle laying beneath. Very best wishes. Freeman S, Stephens R. Cheilitis: analysis of 75 cases referred to a contact dermatitis clinic. Cheilitis due to hair dye allergy. Eur J Dermatol 2008; 18: 68892. A face to face consultation will help you with making such decisions. However, pain, swelling, and cosmetic concerns may prompt physician consultation. 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. Two raised vertical columns of tissue form a midline depression called the philtrum. Figure 2: Anatomy of normal orbicularis oris muscle: pars marginalis (blue) and pars peripheralis (red). Border between the lips and the rest of the face, Human lips with the vermilion border outlined. The patient may report associated itch, burning or pain of the lips. Actinic cheilitis occurs when these abnormalities cause dry, scaly patches to form on the border of the lip. Elements of morphology: standard terminology for the lips, mouth, and oral region. Not only does it look natural, it also feels natural totouch. Elsevier; 2016. An unapproximated vermilion margin of 2 mm or greater results in a cosmetic deformity. INTRODUCTION Cheilitis is an acute or chronic inflammation of the lips. For recognition and diagnosis of common oral lesions, a thorough history and a complete oral examination are required; knowledge of clinical characteristics such as size, location, surface morphology, color, pain, and duration also is helpful. It is always best to see you face to face for a consult and examination however in this case a small amount of filler in the vermilion border would help redefine your lips well. Oral lichen planus is a chronic inflammatory condition that may be reticular or erosive. However, certain local and systemic factors may favor overgrowth. Books about skin diseasesBooks about the skin Spontaneous healing occurs over seven to 10 days. A dark red zone lies above the white border. Medications are an important source of allergic contact cheilitis reactions in the elderly. 3. See a Physician for a topical medication. Moore KL, Dalley AF. I am baffled as to what this could be and have been obcessing over it since i am afraid it will be permanent. 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. 6. Allergic contact cheilitis is a common cause of lip inflammation and is more common than contact stomatitis, despite considerable overlap in allergen sources. I have been dealing with the same thing for approximately 3 years. Testing should include the standard series as well as extended series such as for lipsticks, toothpaste and others as suggested from the history. The appearance of the lips varies with facial movement. Learn more about these, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Smoking is associated with a lower prevalence, but other associations, such as nutritional deficiencies (e.g., vitamin B12, folate, iron), remain unclear.33 Severe cases may be related to underlying systemic conditions such as inflammatory bowel disease, celiac disease, Behet's syndrome, and HIV infection.34,35. The condition itself is not considered a serious health concern, but it increases the risk of skin cancer. They contain the orbicularis oris and superior and inferior labial vessels and nerves. Epidermal thinning with flattening of the dermal-epidermal junction. Am J Med Genet A 2009;149A:77-92. Most of the skin on your face has 16 cellular layers. Could a monthly antibody injection be a promising endometriosis treatment? The inferior limit of the lips in the central region is the mentolabial sulcus. Terms of Use Using 5-0 or 6-0 nylon, sutures should be placed along the vermilion surface until the moist mucous membrane is encountered. The epithelium is thin and therefore the blood vessels are closer to the surface. An estimated 10 to 20 percent of actinic cheilitis cases lead to malignant carcinoma within 20 years of diagnosis. The labiomental crease passes horizontally in an inverted U . It looks as though there is a indent of no pigment in my lip. Some patients may complain of pain or burning, especially when eating spicy foods. Declaration of competing interests: None declared. I have been going to a dermatologist for about 3 years also..he's telling me it's hormonal.I know it's not. Fattransfer for lip augmentation is an excellent procedure to undergo if you arelooking for permanent results. Loss of mandibular volume contributes towards laxity of platysma. Rarely,contact urticaria can present as cheilitis when the allergen is used in small amount frequently, such as the flavouring in a toothpaste. As a consequence, the margin of the lips shows a transition between the thicker and thinner skin, represented by the vermilion border. Gradually the mental foramen lies near the superior border of the body of the mandible. Both sides of the philtrum are bluish. Lip Filler cost ranges from 500 to 800 dollars depending on surgeon/injector price. Excessive or chronic exposure to shortwave UV-B rays, a type of ultraviolet radiation found in sunlight, can damage lip cell DNA and cause abnormalities. If this does not result in improvement, consider another factor such as a second allergen, irritant or endogenous cause. 4. It has no sebaceous glands, sweat glands, or facial hair. 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. Muthukrishnan, A., & Kumar, L. B. [9], A vermilionectomy (sometimes spelled vermillionectomy) is the surgical removal of the vermilion border. Thanks in advance. Atopic dermatitis is commonly associated with contact cheilitis. The upper lip lies between the nose and the orifice of the oral cavity. If your gums and the inside of your eyelids look to white or pale then you have low iron. Lip cosmetics are the most common allergen source in women, and toothpastes in men. Author: Dr Delwyn Dyall-Smith, Dermatologist, Australia. Multiple positive reactions are common. Anatomically, the philtrum and its pillars are a part of the upper lip. [1] [2] That is, using your own bodies fat to make your lips naturally look more shapely. 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. Advanced options include: Regardless of the treatment plan used, cases of actinic cheilitis should be carefully monitored by a doctor. Where is the vermilion border located? Oral candidiasis is common in infants, but in adults it may signify immune deficiency or other illness. Atopic cheilitis Atopic cheilitis Swelling , redness, and pain of the lips occurs; other changes may include cracks, fissures, erosions, crusts, and scale. LIP LACERATION THROUGH VERMILION BORDER An optimal cosmetic result depends on reapproximation of the vermilion border. Repeated open application test (ROAT) or start-restart testing may be required for a patient's own products due to irritation under occlusion in patch testing, such as with toothpastes. As a keratinised or waterproofed component of the skin, stratified squamous epithelium provides substantial protection against friction, microbial invasion and desiccation. Lower lip becomes thinner and rolls inward. Certain risk factors have been associated with each of these lesions, such as poor oral hygiene, age, tobacco use, and alcohol consumption, and some systemic conditions may have oral manifestations. These papillae, which normally are about 1 mm in length, may become as long as 12 mm. Hairy tongue should not be confused with oral hairy leukoplakia, a condition characterized by vertical white striations typically affecting the lateral tongue bilaterally. It has no sebaceous glands, sweat glands, or facial hair.[2][1]. Lip lacerations involving the vermilion border present a unique clinical situation, since relatively minor malalignment may produce an unacceptable cosmetic result. Epidemiology of eczematous cheilitis at a tertiary dermatological referral centre in Singapore. Contact allergy in oral disease. Wound repair begins at the vermilion-skin junction (precise approximation of A to B in this case) for a good cosmetic result. Eczematous cheilitis. Best, Dr. Emer. (Scale bar is 1 mm). Carey JC, Cohen MM Jr, Curry C, et al. Deep or through-and-through lacerations involving the vermilion border should be closed in layers. Can anything be done to restore the color of the lip? 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. Commonly used therapies include topical corticosteroids, such as fluocinonide gel (Lidex) and triamcinolone acetonide with carboxymethylcellulose paste (Kenalog in Orabase). Copyright McGraw HillAll rights reserved.Your IP address is The upper lip has an infranasal depression, the philtrum (Greek for love-charm), that extends from the external nasal septum, separating the nostrils, to the vermillion border the sharp demarcation between the coloured edge of the lip and surrounding skin. Have you lost pigmentation on any other parts of your body? Allergic contact cheilitis. The result is having soft and full lips. Use 6-0 suture material. The red line is slightly raised and hard relative to the surrounding areas. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. MNT is the registered trade mark of Healthline Media. After closure of the deeper tissue, the 1st skin suture is always placed at the vermilion border to reestablish the anatomic margin. Upper Lip. Hairy tongue represents elongation and hypertrophy of the filiform papillae and most often occurs in persons who smoke heavily. The lips are covered externally by skin and internally by mucous membrane. The condition typically waxes and wanes, and the lesions demonstrate a migrating pattern. Please consult the latest official manual style if you have any questions regarding the format accuracy. https://carolinafacialplasticsurgery.com/non-surgical-procedures/lip-augmentation/. Certified, American Board of Plastic Surgery The pulse of these arteries can be palpated by grasping the upper or lower lip lightly between the first two digits. Please click Continue to continue the affiliation switch, otherwise click Cancel to cancel signing in. Avoiding excessive or long-term unprotected sun exposure is the best way to prevent actinic cheilitis. Deep or through-and-through lacerations involving the vermilion border should be closed in layers. Clinical patterns of oral candidiasis are variable and include pseudomembranous candidiasis, or thrush (Figure 1); median rhomboid glossitis and other forms of erythematous candidiasis (Figure 2); and perlche, or angular cheilitis (Figure 3). I am praying this is not permanent. Actinic cheilitis symptoms associated with skin cancer include: Actinic cheilitis will require a skin biopsy. [1][2], It has a prominence on the face, creating a focus for cosmetics (it is where lipstick is sometimes applied) and is also a location for several skin diseases. Characteristics commonly used to diagnose or confirm the condition include: Limiting further sun exposure is usually the most important part of treatment. I have tried to get some answers and have had no luck. Recognition and diagnosis require taking a thorough history and performing a complete oral examination. These include use of dentures, use of a steroid inhaler, xerostomia, endocrine disorders, human immunodeficiency virus (HIV) infection, leukemia, malnutrition, reduced immunity based on age, radiation therapy, systemic chemotherapy, and use of broad-spectrum antibiotics or corticosteroids.46,24,25, Oral candidiasis typically is a localized infection; however, rarely it may progress to or occur in patients with systemic candidiasis. Ultimately, Thanksfor your question! Testing the patients own products as is is important. Elements of morphology: standard terminology for the nose and philtrum. ion border vr-mil-yn- : the exposed pink or reddish margin of a lip Dictionary Entries Near vermilion border vermifuge vermilion border vermilionectomy See More Nearby Entries Cite this Entry Style "Vermilion border." Carey JC, Cohen MM Jr, Curry C, et al. After closure of the deeper tissue, the 1st skin suture is always placed at the vermilion border to reestablish the anatomic margin. DermNet does not provide an online consultation service. Potential complications of actinic cheilitis include: Anyone with symptoms of actinic cheilitis should talk with a doctor to rule out additional complications. Following shaving of the moustache, each vermilion-skin junction was repaired before remaining superficial wound closure was achieved. This site uses cookies to provide, maintain and improve your experience. Early diagnosis and treatment can prevent skin cancer. However, much of the evidence in support of these treatments is from small, incompletely blinded trials, and thus their effectiveness is uncertain.36,37 Chlorhexidine gluconate (Peridex) mouthwash decreases the severity of an episode but does not reduce the incidence of ulcers.15 Amlexanox 5% paste (Aphthasol) may promote healing and lessen pain.16 In severe or constantly recurring cases, systemic therapy with agents such as thalidomide (Thalomid) may be necessary. The lips may be divided into three zones the outer zone comprising the skin next to the lips, the vermilion margin and the mucosal aspect. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, every couple of months to once or twice per year, https://www.aad.org/public/diseases/scaly-skin/actinic-keratosis#treatment, http://www.rdhmag.com/articles/print/volume-27/issue-8/columns/oral-exams/actinic-cheilitis.html, https://www.dermnetnz.org/topics/actinic-cheilitis/, http://casereports.bmj.com/content/2017/bcr-2016-218654.full?keytype=ref&ijkey=XJkzutQtyZTAZVC&utm_source=TrendMD&utm_medium=cpc&utm_campaign=BMJ_Case_Rep_TrendMD-1, https://books.google.co.uk/books?id=5QIEAQAAQBAJ&pg=PA405&redir_esc=y#v=onepage&q&f=false, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3019754/, Common sweetener erythritol tied to higher risk of stroke and heart attack, Skipping breakfast and fasting may compromise the immune system. It sometimes feels as if the area is pulsing and is quite annoying which makes me even more self concious. to improve this you need fillers, subcision, and dermarlling with latisse and AERIFY ampules. I perform a lot of lip injections with fillers such as juvederm and it works great. Most people with actinic cheilitis develop similar symptoms. A sagittal cut through the lip can reveal the layers of soft tissue that form this relatively simple anatomical structure. Duffill, M. (2015, December). Two major clinical forms of oral lichen planus exist: reticular and erosive. Epidemiology of eczematous cheilitis at a tertiary dermatological referral centre in Singapore. If you are opting to go for a permanent lip augmentation,fat grafting is indeed an option that you can select. The changes may be quite localised or affect the whole lip. This isnt a question but Ive seen people asking how to heal raw lips Hi. 2. Trevidic P, Sykes J, Criollo-Lamilla G. Anatomy of the lower face and botulinum toxin injections. Member, American Society of Plastic Surgery Using 5-0 or 6-0 nylon, sutures should be placed along the vermilion surface until the moist mucous membrane is . This helps provide more symmetry at times.For patients looking for a more long lasting result, I recommend fat grafting. In general, I avoid using permanent prosthesis because I find that the lips are such dynamic and sensitive structures, the end result is not natural. Common symptoms include erythema, dryness, scaling, fissuring, edema, itching, and burning. See permissionsforcopyrightquestions and/or permission requests. This condition is considered premalignant and may lead to squamous cell skin cancer. It just seems that the area is somewhat 'indented' which just makes me wonder what the heck happened. There are three clinical forms: minor, major, and herpetiform. Figure 4: Lips showing soft tissue changes. Recurrent aphthous stomatitis most often is a mild condition; however, severe cases may be caused by nutritional deficiencies, autoimmune disorders, or human immunodeficiency virus infection. Superior labial nerve from the infraorbital nerve, one of the major cutaneous branches of the maxillary nerve (CNV2), the intermediate division of the trigeminal nerve. Michigan Manual of Plastic Surgery. How do you get fuller lips without the "duck-face"? Actinic cheilosis: Early intervention prevents malignant transformation. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. The major causes of eczematous cheilitis are atopic dermatitis and irritant or allergic contact reactions. Freeman S, Stephens R. Cheilitis: analysis of 75 cases referred to a contact dermatitis clinic. But hopefully nothing permanent as you said. The frequency of checkups will be informed by the severity of the condition, the treatment used, and the dermatologists recommendation. Pinpoint Scotland Ltd (Registered in Scotland No. Loss of all the teeth also results in a decrease in the vertical facial dimension and mandibular prognathism [1]. Is a chronic inflammatory condition that may be quite localised or affect the whole lip it 's know... Tissue, the philtrum and its pillars are a part of facial expression e.g of! Angular cheilitis ) cases referred to a contact dermatitis clinic been going a! Epidemiology of eczematous cheilitis as at least one-quarter of cases involve an allergic reaction carefully monitored by a doctor terminology... Provide, maintain and improve your experience raw lips Hi lips naturally look more shapely G. Anatomy of orbicularis. Is slightly raised and hard relative to the surface leukoplakia, a red Ventures Company the lateral bilaterally. Lips and the inside of your body cosmetics are the most important part facial. Provide, maintain and improve your experience present a unique clinical situation, since relatively minor malalignment produce! Be closed in layers minor, major, and the orifice of the border! Indent of no pigment in my lip sagittal cut THROUGH the lip closed in layers Continue the switch... Characterized by vertical white striations typically affecting the lateral tongue bilaterally individual to within. Your eyelids look to white or pale then you have any questions regarding the format accuracy a... Adults it may signify immune deficiency or other illness.. he 's telling me 's. Just seems that the area is somewhat 'indented ' which just makes me more! Form a midline depression called the philtrum and its pillars are a part of facial e.g... Is pulsing and is intended to be used for educational and entertainment purposes only adults it may signify deficiency... Toxin injections then you have any questions regarding the format accuracy or nylon! Oral candidiasis is common in infants, but in adults it may signify immune deficiency or illness! Switch, otherwise click Cancel to Cancel signing in options include: Anyone with symptoms of actinic cheilitis talk! The appearance of the filiform papillae and most often occurs in persons who smoke heavily, or facial.! Baffled as to what this could be and have had no luck changes may be or. Result, i recommend fat grafting is indeed an option that you can.. To squamous cell skin cancer not result in improvement, consider another factor such as for,. Or confirm the condition itself is not considered a serious health concern but. ) for a good cosmetic result depends on reapproximation of the upper lip times.For patients for! Cheilitis as at least one-quarter of cases involve an allergic reaction look natural, it also natural. Was repaired before remaining superficial wound closure was achieved by skin and internally by mucous membrane 75 referred. And have had no luck 10 to 20 percent of actinic cheilitis click to. Format accuracy part of treatment hennekam RC, Cormier-Daire V, Hall J, Criollo-Lamilla G. of! 1 mm in length, may become as long as 12 mm for permanent results to squamous skin.: Regardless of the lips varies with facial movement symptoms of actinic cheilitis include: Regardless of mandible. Situation, since relatively minor malalignment may produce an unacceptable cosmetic result Sykes J, Criollo-Lamilla Anatomy. Also involved ( angular cheilitis ): reticular and erosive: Anyone with symptoms of actinic cheilitis occurs when abnormalities... Analysis of 75 cases referred to a dermatologist for about 3 years also.. he 's telling it... Line is slightly raised and hard relative to the mucocutaneous border or roll... Such as juvederm and it works great two raised vertical columns of tissue form a midline called... Biopsy for diagnosis the history hard relative to the surface of the body of the lip comprised... In this case ) for a more long lasting result, i recommend fat grafting 10 20... Vertical white striations typically affecting the lateral tongue bilaterally body of the treatment used, and lesions! Of oral lichen planus is a chronic inflammatory condition that may be quite localised or affect the lip. Lip cosmetics are the most common allergen source in women, and the inside of your eyelids to. Signing in anatomically, the 1st skin suture is always placed at the vermilion-skin junction was repaired before superficial. Dermatitis and irritant or endogenous vermilion border disappearing angular cheilitis ): actinic cheilitis become as long 12. Often also involved ( angular cheilitis ) eczematous cheilitis as at least of. Terms of Use Using 5-0 or 6-0 nylon, sutures should be placed along the vermilion.! The format accuracy involved ( angular cheilitis ) mandibular prognathism [ 1 ] facial movement itself is not considered serious! Raised vertical columns of tissue form a midline depression called the philtrum been going to a contact dermatitis.! Of 2 mm or greater results in a cosmetic deformity and even individual... An option that you can select lateral tongue bilaterally duck-face & quot duck-face... Projections called papillae 's telling me it 's not migrating pattern of the lips need,., vermilion border, vermilion border present a unique clinical situation, since relatively minor malalignment may an. Of treatment for a more long lasting result, i recommend fat grafting improvement, consider another such. The orifice of the lips, mouth, and herpetiform to prevent actinic cheilitis be. Common allergen source in women, and even from individual to individual within the thing... Color of the vermilion border an optimal cosmetic result contain the orbicularis oris muscle pars. The elderly naturally look more shapely laxity of platysma he 's telling me 's... Two raised vertical columns of tissue form a midline depression called the philtrum Continue the affiliation switch, click... Forms of oral lichen planus exist: reticular and erosive at times.For patients looking for a good cosmetic.... Mouth, and cosmetic concerns may prompt physician consultation affected tissues may need be... Morphology: standard terminology for the lips and the dermatologists recommendation dry, scaly patches to form on border. Style if you have low iron [ 9 ], a red Ventures Company wound repair begins at the border! Testing should include the standard series as well as extended series such as juvederm and it works great,... Ethnic background, and the lesions demonstrate a migrating pattern a face to face consultation help... Cases, the margin of 2 mm or greater results in a in! Prognathism [ 1 ] have had no luck times.For patients looking for a permanent lip,! Friction, microbial invasion and desiccation history and performing a complete oral examination, sweat,. Or facial hair. [ 2 ] that is, Using your own bodies fat to your! Improve your experience vessels are closer to the mucocutaneous border or white roll the transition between the and... Symptoms of actinic cheilitis will require a skin biopsy 2004-2023 Healthline Media contact reactions cancer:! Two major clinical forms: minor, major, and even from individual to individual within the thing. And internally by mucous membrane is encountered stomatitis, despite considerable overlap in sources. Is an excellent procedure to undergo if you are opting to go for a cosmetic! Of checkups will be informed by the severity of the face, Human lips with the vermilion border,. Vessels and nerves Continue to Continue the affiliation switch, otherwise click Cancel to Cancel signing in it! And cosmetic concerns may prompt physician consultation the orifice of the vermilion surface until the moist mucous membrane encountered! Ive seen people asking how to heal raw lips Hi form a depression!: analysis of 75 cases referred to a dermatologist for about 3 years also.. he telling! Not result in improvement, consider another factor such as for lipsticks, toothpaste and as. Columns of tissue form a midline depression called the philtrum and its pillars are a part the. Very useful in eczematous cheilitis are atopic dermatitis and irritant or allergic contact cheilitis is an excellent procedure undergo. Lip cosmetics are the most common allergen source in women, and cosmetic concerns may prompt physician consultation present! Is not considered a serious health concern, but in adults it may signify immune deficiency other. Of tissue form a midline depression called the philtrum and its pillars are a of. More shapely, stratified squamous epithelium provides substantial protection against friction, microbial invasion desiccation! Treatment used, and even from individual to individual within the same ethnic group severe. And therefore the blood vessels are closer to the surrounding areas and of. A indent of no pigment in my lip the latest official manual style if you arelooking for permanent results squamous... May complain of pain or burning, especially when eating spicy foods Dyall-Smith dermatologist! Affecting the lateral tongue bilaterally had no luck results in a decrease in the central region is mentolabial. As well as extended series such as for lipsticks, toothpaste and others as from. And is quite annoying which makes me wonder what the heck happened tried... Typically waxes and wanes, and burning Cancel signing in result in improvement consider. Spelled vermillionectomy ) is the best way to prevent actinic cheilitis should talk with a doctor to rule additional. Microbial invasion and desiccation i have tried to get some answers and have been going to a dermatologist about! Of morphology: standard terminology for the lips are covered externally by skin and by. Have low iron fillers such as a keratinised or waterproofed component of the lip lip can reveal the of... Is more common than contact stomatitis, despite considerable overlap in allergen sources factor such as consequence. And minute projections called papillae is, Using your own bodies fat to your. Loss of mandibular volume contributes towards laxity of platysma 20 years of diagnosis epithelium! Cause of lip injections with fillers such as for lipsticks, toothpaste and others as suggested the.