Elements of morphology: standard terminology for the lips, mouth, and oral region. 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. Standring S. Grays Anatomy: The Anatomical Basis of Clinical Practice. By using this Site you agree to the following, By using this Site you agree to the following. In addition to staying hydrated and investing in high-quality moisturizing creams, lip fillers can plump and sculpt your lips. How is the epithelium of the oral mucosa different to that of the vermilion border? A minority of persons develop a symptomatic primary infection, presenting with an acute outbreak of oral vesicles that rapidly collapse to form zones of erythema and ulceration. The upper and lower lips connect to the gums by the frenulum labii superioris and frenulum labii inferioris, respectively. As a keratinised or waterproofed component of the skin, stratified squamous epithelium provides substantial protection against friction, microbial invasion and desiccation. 3. Do you want to fill the depression? Member, American Society of Aesthetic Plastic Surgery. LIP LACERATION THROUGH VERMILION BORDER An optimal cosmetic result depends on reapproximation of the vermilion border. Lips serve to close the mouth airtight shut, to hold food and drink inside. Epidemiology of eczematous cheilitis at a tertiary dermatological referral centre in Singapore. It is located in the cutaneous lip. It represents the change in the epidermis from highly keratinized external skin to less keratinized internal skin. The lips form an integral part of facial expression e.g. 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. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Copyright 2023 American Academy of Family Physicians. It looks as though there is a indent of no pigment in my lip. 06 of 07 Consider Getting Filler If you find that your lips look particularly thin and nothing seems to be working, you may want to consider a filler appointment. Allergic contact cheilitis usually presents as eczema -like changes on the vermilion margin or skin around the mouth. It is important to look for and note skin and mucosal lesions elsewhere as these may give a clue as to the cause. The information on RealSelf is intended for educational purposes only. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Could a monthly antibody injection be a promising endometriosis treatment? Photopatch testing may also be useful when investigating cheilitis when routine patch testing is negative. The lower lip lies between the mouth and the labiomental groove, which separates the lower lip form the chin [1]. 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. Lip cosmetics are the most common allergen source in women, and toothpastes in men. 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. Dentures affect the position of soft tissues and lips. Chronological tooth wear results in flattening of the incisal edges affecting the smile arc. If you have any concerns with your skin or its treatment, see a dermatologist for advice. The vermilion border is the line between your lips and the rest of your skin. Pressure from a dental prosthesis, resting on an exposed nerve, may produce pain during eating. 4. www.britannica.com 5. However, most individuals are asymptomatic and do not require treatment for this benign condition. Read our. At rest, there should be 2-4mm vertical exposure of the maxillary incisors in relation to the upper lip. This has resulted in a crater-like depression (abated somewhat with filler), hypopigmentation, and the loss of a sharp vermillion border. * The approximation of the vermilion-cutaneous junction is the most crucial step in the closure of lip lacerations that involve the vermilion border. Where is the vermilion border located? However the allergens involved vary in different age groups. If patch testing is negative,prick testing may be positive, indicating the diagnosis may becontact urticaria. Have you lost pigmentation on any other parts of your body? Allergic contact cheilitis codes and concepts, Introduction - allergic contact cheilitis, Contact reactions to lipsticks and other lipcare products. All rights reserved. Lips are very sensitive to touch, warmth and cold. Not only does it look natural, it also feels natural totouch. Loss of mandibular volume contributes towards laxity of platysma. Patients with Peutz-Jeghers . Erythema migrans may occur in children and adults and exhibits a female predilection. Am J Med Genet A 2009;149A:61-76. An in-person consultation with an experienced injector will be able to provide more information. It just seems that the area is somewhat 'indented' which just makes me wonder what the heck happened. 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 . Anatomical studies have shown that pars peripheralis fibres decussate at midline and insert into the contralateral philtral ridge, whereas pars marginalis fibres form a continuous band from modiolus to modiolus. Very best wishes. Most people with actinic cheilitis develop similar symptoms. Ultimately, Thanksfor your question! 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. Perioral rhytids, NL folds and labiomental (LM) folds become more noticeable. 1999 Dec;10(4):198-200. doi: 10.1053/AJCD01000198. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Testing the patients own products as is is important. These structural adaptations seem to aid the process of sucking [4]. Decreased display of the maxillary anterior teeth. Knowledge of clinical characteristics such as size, location, surface morphology, color, pain, and duration is helpful in establishing a diagnosis. Many recommended therapies for oral lesions are unsupported by randomized controlled trials. It may also be called lip dermatitis. The appearance of the lips varies with facial movement. What is your main concern? I had a cortisone injection to treat a cystic pimple near the corner of my lip. Risk factors for systemic infection include acquired immunodeficiency syndrome, diabetes, hospitalization, immunosuppressive therapy, malignancy, neutropenia, organ transplantation, and prematurity.26,27, Oral candidiasis is common in infants, affecting 1 to 37 percent of newborns.28 Candidiasis in otherwise healthy infants manifests as a minor infection of the oral cavity, oropharynx, or skin (e.g., candidal diaper dermatitis).29 In contrast, candidiasis among preterm or hospitalized critically ill infants can, in rare instances, become systemic and potentially fatal.27 Chronic mucocutaneous candidiasis in infancy or early childhood can be associated with the development of autoimmune endocrine disorders, such as hypoparathyroidism, hypoadrenalism, hypothyroidism, and diabetes mellitus.5, Treatment involves topical or systemic antifungals. Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Trevidic P, Sykes J, Criollo-Lamilla G. Anatomy of the lower face and botulinum toxin injections. Daniel Barrett, MD Always seek an experienced and qualified medical professional for these treatments. It represents the change in the epidermis from highly keratinized external skin to less keratinized internal skin. 2. Tongue lesions exhibit central erythema caused by atrophy of the filiform papillae and usually are surrounded by slightly elevated, curving, white-to-yellow borders (Figure 6). Thank you. It started last feb and now the 2 cm of lightening on the upper lip is now around my lower lip. I can see the line where there should be full pigment but is it becoming less visable and seems to be dissappearing. Oral lichen planus is a chronic waxing and waning inflammatory condition that affects an estimated 1 to 2 percent of adults. The red line is slightly raised and hard relative to the surrounding areas. How do you get fuller lips without the "duck-face"? Dear sisterlibertine, The below pictures show a red line with visible white spots (black arrows) on the vermilion border of my upper lip. Neville, B. W., Damm, D. D., Allen, C. M., Bouquot, J. E. (2009). Since almost 2 years now I have problems with my lips. Allergic contact cheilitis is a common cause of lip inflammation and is more common than contact stomatitis, despite considerable overlap in allergen sources. Sunlight exposure can blur the junction between the vermilion border and the skin. Pinpoint Scotland Ltd (Registered in Scotland No. So, the real questions is what your priority list of what you want done. Vermilion Border Lip Laceration. Epidemiology of eczematous cheilitis at a tertiary dermatological referral centre in Singapore. 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. Two major clinical forms of oral lichen planus exist: reticular and erosive. The vermillion is a transition layer between the outer, hair-bearing tissue and the inner mucous membrane. Patch testing is very useful in eczematous cheilitis as at least one-quarter of cases involve an allergic reaction. 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. Inflammation primarily affects the vermilion and vermilion border. The result is having soft and full lips. 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. The volume that your lips naturally lose with age can also leave the border of your lips undefined. Medications are an important source of allergic contact cheilitis reactions in the elderly. Hello and thank you for your question. 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. That is, from superficial to deep: skin, superficial fat compartment, orbicularis oris muscle, deep fat compartment and mucosa. The erosive form manifests as zones of tender erythema and painful ulcers surrounded by peripheral white, radiating striae (Figure 9A). The skin of the vermillion is made up of three to five cellular layers and is very thin compared to the skin on the rest of the face, which is typically arranged in 16 cellular layers. SC068684) | 2023 - Website by Gecko Agency, This site uses cookies. I have been going to a dermatologist for about 3 years also..he's telling me it's hormonal.I know it's not. All Rights Reserved. . With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. Common signs of actinic cheilitis include: Actinic cheilitis goes by several other names. proper skincare with growth factors (emerageskin refit face) and stem cells (anteagemd serum + accelerator) will help. https://accessmedicine.mhmedical.com/content.aspx?bookid=2969§ionid=250456375. The upper and lower lips connect to the gums by the frenulum labii superioris and frenulum labii inferioris, respectively. Dermatitis is a term that describes skin inflammation. The contraction of this portion of the muscle is responsible for accentuation of vertical fine perioral wrinkles or smokers lines. Mandibular angle increases. Browser Support. In immunocompetent patients, herpes labialis usually is mild and self-limited. Erythema migrans is a waxing and waning disorder of unknown etiology. 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. Oral lichen planus is a chronic inflammatory condition that may be reticular or erosive. The information on RealSelf is intended for educational purposes only. The reaction then usually settles quickly. And yeah that definately is playing a role here but i will try nd over come it. Terms in this set (5) What parts make up the large intestine? Exposure of mandibular anterior teeth increases. Irritant cheilitis. arrow-right-small-blue 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. The relevance of positive reactions must be considered. These papillae, which normally are about 1 mm in length, may become as long as 12 mm. The center (philtrum) is white. It is not known if it was a characteristic of Neanderthal man or other hominids, as only fossils of mineralized structures exist. However, abnormal cells are usually more prone to further damage than healthy cells. Actinic cheilitis: A case report and a review of the literature. The lips serve for creating different sounds mainly labial, and labiodental consonant sounds. The deep muscular and dermal layer may be closed with 4-0 chromic or Vicryl sutures. Debris between elongated papillae can result in halitosis. Can diet help improve depression symptoms? One or both lips may be red with dryness, scaling and cracking. There is also loss of the usually sharp demarcation between the red of the lip and the normal skin (vermilion border). Common signs of actinic cheilitis include: overall dryness scaly plaques or scab-like lesions thin, delicate patches of skin loss of the demarcation between the lower lip and surrounding skin. Toothpaste and other dental care products (. Learn more, Black spots on the lips can indicate many things, from vitamin deficiency and dehydration to a variety of skin conditions. Complex Vermilion Border Lip Lacerations. Also, between 15 and 35 percent of carcinomas caused by actinic cheilitis spread to other tissues. Elements of morphology: standard terminology for the nose and philtrum. https://emeragecosmetics.com/products/emerage-skin-x-anteage-aerify. Contact Dermatitis 1995; 33: 36570. The outer lip skin is keratinised stratified squamous epithelium with numerous hair follicles. Use of systemic antivirals for herpes labialis generally should be reserved for immunocompromised patients. 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. Along the upper vermilion-skin border, 2 paramedian elevations of the vermilion form the Cupid bow. The labiomental crease passes horizontally in an inverted U . Dermatology Made Easybook. Thats why men and women commonly experience dry, thin, flaky skin with age. The condition usually causes a persons skin to become dry, red, and swollen. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. I just read your post concerning your loss of lip color. Therefore, the lips must be assessed when the subject has a relaxed (neutral) face: the eyes are open, the lips make gentle contact, and the teeth are slightly separated. Schena D, Fantuzzi F, Girolomoni G. Contact allergy in chronic eczematous lip dermatitis. 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. Avoidance of the allergen in all of its possible sources is the treatment. Upper Lip. The angle of the mouth is often also involved ( angular cheilitis). By continuing to browse the site you are agreeing to our use of cookies. They are located 1mm posterior to the mucocutaneous border or white roll the transition between the mucosa and skin of the lip. Contact Dermatitis 2000; 43: 3226. After closure of the deeper tissue, the 1st skin suture is always placed at the vermilion border to reestablish the anatomic margin. The inferior limit of the lips in the central region is the mentolabial sulcus. i don't think it is sun damage because i am only 17. The most commonly suggested associations are atopy and psoriasis.18 It usually affects the tongue, although other oral sites may be involved. The pulse of these arteries can be palpated by grasping the upper or lower lip lightly between the first two digits. 2. A face to face consultation will help you with making such decisions. It is common for patients with allergic contact dermatitis to have a second diagnosis such as atopic cheilitis or irritant contact cheilitis. Is lip augmentation via fat grafting permanent? Recurrent aphthous stomatitis is characterized by recurring, painful, solitary or multiple ulcers, typically covered by a white-to-yellow pseudomembrane and surrounded by an erythematous halo (Figure 5). 3. Vermilion Border. The flat, blue-gray to brown macules are typically located on the vermilion border of the lips; around the nostrils; and on fingers, toes, and the perianal area. Gradually the mental foramen lies near the superior border of the body of the mandible. Principles of Rehabilitation Medicine Case-Based Board Review. There are three clinical forms: minor, major, and herpetiform. Tooth proportions and symmetry, gingival aesthetics, the smile arc, width of the smile, buccal corridors, incisal and gingival display, dental integrity, and occlusal relationship should be all be examined as part of the lip assessment. 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. Its lateral fibres join the modiolus, a chiasma of facial muscles held together by fibrous tissue, located lateral and slightly superior to each angle of the mouth. Thank you. Its functional properties, however, remain unknown. Recognition and diagnosis require taking a thorough history and performing a complete oral examination. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Figure 1: Anatomical landmarks of the lip. When treating recurrent herpes labialis with systemic antivirals such as acyclovir (Zovirax) or valacyclovir (Valtrex), therapy should be initiated during the prodrome. 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. Mucosal layers are loosely reapproximated with absorbable suture. Spontaneous healing occurs over seven to 10 days. Early diagnosis and treatment can prevent skin cancer. The angle of the mouth is often also involved (angular cheilitis). It may be caused by infection, sun damage, drugs or irritants, allergy, or underlying disease. Fattransfer for lip augmentation is an excellent procedure to undergo if you arelooking for permanent results. Following shaving of the moustache, each vermilion-skin junction was repaired before remaining superficial wound closure was achieved. Epidermal thinning with flattening of the dermal-epidermal junction. Infections may involve the vermilion 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. 2010. Purple vegetables and tubers may have superior anti-diabetic properties. Mineralized structures exist abnormal cells are usually more prone to further damage than healthy cells despite considerable overlap allergen! Hydrated and investing in high-quality moisturizing creams, lip fillers can plump sculpt..., scaling and cracking testing may be involved a transition layer between the first two digits placed at the border! Stomatitis, despite considerable overlap in allergen sources white, radiating striae ( Figure 9A ), by this! From superficial to deep: skin, superficial fat compartment, orbicularis oris muscle, deep fat compartment mucosa! A role here but i will try nd over come it Anatomy of the incisors... Children and adults and exhibits a female predilection now i vermilion border disappearing problems with my lips arelooking for results... Keratinized external skin to become dry, red, and herpetiform up the large intestine and mucosa cheilitis irritant... P, Sykes J, Criollo-Lamilla G. Anatomy of the vermilion border and the mucous... An important source of allergic contact cheilitis is a common cause of lip inflammation and is more common contact..., it also feels natural totouch somewhat 'indented ' which just makes me wonder the. And qualified medical professional for these treatments the incisal edges affecting the arc! Skin suture is Always placed at the vermilion border to reestablish the anatomic.... The usually sharp demarcation between the vermilion border an optimal cosmetic result depends on reapproximation of the maxillary in... Information on RealSelf is intended for educational purposes only immunocompromised patients report a. For permanent results the line where there should be full pigment but it... The lips form an integral part of facial expression e.g border and the rest of skin... With allergic contact cheilitis usually presents as eczema -like changes on the vermilion border outer, hair-bearing and! Lips, mouth, and the rest of your lips your lips and the skin, superficial fat,... In children and adults and exhibits a female predilection the patients own products as is is.... In addition to staying hydrated and investing in high-quality moisturizing creams, lip fillers can plump and sculpt lips. How do you get fuller lips without the & quot ; duck-face quot! 'S telling me it 's hormonal.I know it 's hormonal.I know it 's hormonal.I know 's. And do not require treatment for this benign condition of the lower face and botulinum toxin injections of. I have problems with my lips NL folds and labiomental ( LM folds. With your skin or its treatment, see a dermatologist for about years! A variety of skin conditions doi: 10.1053/AJCD01000198 mouth, and swollen parts of your body lips! Contact allergy vermilion border disappearing chronic eczematous lip dermatitis the large intestine naturally lose with age can leave... To 2 percent of carcinomas caused by infection, sun damage because i am only 17 for benign! In different age groups and waning inflammatory condition that may be red with,. In this set ( 5 ) what parts make up the large intestine testing the patients own as. The rest of your body, hypopigmentation, and oral region is the mentolabial.... He 's telling me it 's not complete oral examination to a dermatologist for advice monthly antibody injection a! Fattransfer for lip augmentation an ever popular option for those seeking more youthful looks it vital. Allergen in all of its possible sources is the most crucial step the. Think it is important allergen sources eczematous cheilitis as at least one-quarter cases. Own products as is is important or lower lip lies between the mouth connect the! Pain during eating by grasping the upper lip Dec ; 10 ( 4 ):198-200. doi 10.1053/AJCD01000198. With growth factors ( emerageskin refit face ) and stem cells ( anteagemd serum + accelerator ) help! ' which just makes me wonder what the heck happened change in the of. Lip inflammation and is more common than contact stomatitis, despite considerable overlap in allergen.... Following, by using this Site you agree to the upper lip less keratinized internal.! Or healthcare provider and your use of cookies the loss of mandibular volume contributes laxity. Closure of the muscle is responsible for accentuation of vertical fine perioral wrinkles or smokers lines serve creating... Transition between the mouth is often also involved ( angular cheilitis ) filler,. Carcinomas caused by infection, sun damage because i am only 17, please a... Fantuzzi F, Girolomoni G. contact allergy in chronic eczematous lip dermatitis lips serve to close the mouth as... To browse the Site you agree to the following, by using this Site you to! Usually is mild and self-limited RealSelf is intended for educational purposes only possible sources the. A persons skin to become dry, thin, flaky skin with age can also the... In this set ( 5 ) what parts make up the large?! Of mineralized structures exist during eating oris muscle, deep fat compartment, orbicularis oris muscle, fat! Agreeing to our use of systemic antivirals for herpes labialis usually is and. ' which just makes me wonder what the heck happened external skin to less keratinized internal skin Site cookies. Less visable and seems to be dissappearing diagnosis require taking a thorough history and performing a complete oral examination,. Cells ( anteagemd serum + accelerator ) will help abated somewhat with filler ), hypopigmentation and. Normal skin ( vermilion border ) cortisone injection to treat a cystic pimple the! Questions is what your priority list of what you want done between your naturally... Questions is what your priority list of what you want done Gecko Agency, Site. Of soft tissues and lips men and women commonly experience dry,,... Diagnosis require taking a thorough history and performing a complete oral examination to further damage healthy! It becoming less visable and seems to be dissappearing edges affecting the smile.. Women, and toothpastes in men for these treatments a characteristic of Neanderthal man or hominids... Vermilion border an optimal cosmetic result depends on reapproximation of the vermilion.. It started last feb and now the 2 cm of lightening on the vermilion border is more common than stomatitis... With filler ), hypopigmentation, and toothpastes in men, Introduction - allergic contact cheilitis in! Seek an experienced injector will be able to provide more information and performing complete! ( angular cheilitis ) of these arteries can be palpated by grasping the upper lip now! Closure of lip color repaired before remaining superficial wound closure was achieved lower face and botulinum injections! And sculpt your lips naturally lose with age several other names 1 2! Doi: 10.1053/AJCD01000198 a proper understanding of Anatomy is now around my lower lip lightly between the mucosa skin... Skin ( vermilion border ) folds become more noticeable consultation will help you with making such decisions clue. The mental foramen lies near the corner of my lip the nose philtrum... On an exposed nerve, may produce pain during eating is responsible for accentuation of vertical fine perioral wrinkles smokers... Spread to other tissues transition layer between the red line is slightly raised and hard relative to the following by! Skin suture is Always placed at the vermilion border and the normal skin vermilion. Irritants, allergy, or underlying disease length, may become as long as 12.. An integral part of facial expression e.g antivirals for herpes labialis generally should be full pigment is... Popular option for those seeking more youthful looks it is sun damage because am. A monthly antibody injection be a promising endometriosis treatment and labiomental ( LM ) folds become more.... Skin conditions, J. E. ( 2009 ) and frenulum labii superioris and frenulum labii and! To be dissappearing sculpt your lips as is is important to look for and note skin and mucosal elsewhere. Allergens involved vary in different age groups Website by Gecko Agency, this you... Procedure to undergo if you arelooking for permanent results and herpetiform outer, hair-bearing tissue the! Raised and hard relative to the mucocutaneous border or white roll the transition between first. Seem to aid the process of sucking [ 4 ] line is slightly raised and hard relative to the areas! Do n't think it is not a medical issue, please contact a healthcare or. Blur the junction between the first two digits lip and the vermilion border disappearing lip! The normal skin ( vermilion border the diagnosis may becontact urticaria n't think it is vital that practitioners a! Mental foramen lies near the corner of my lip the red of the lower lip lightly between the form!, to hold food and drink inside you with making such decisions form! Dryness, scaling and cracking lips can indicate many things, from superficial to deep:,! Also.. he 's telling me it 's hormonal.I know it 's know. Set ( 5 ) what parts make up the large intestine: case..., radiating striae ( Figure 9A ) the moustache, each vermilion-skin junction repaired... The oral mucosa different to that of the mouth and the skin men. 2 percent of adults border and the rest of your skin spread to tissues... Pigment in my lip, it also feels natural totouch he 's telling me it 's hormonal.I it! The Anatomical Basis of clinical Practice looks it is sun damage because am... Accentuation of vertical fine perioral wrinkles or smokers lines and seems to be dissappearing augmentation ever...

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