Facial Plast Surg 2014; 30(05): 587-592
DOI: 10.1055/s-0034-1393698
Rapid Communication
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Morphometric Analysis of the Upper Lip in Koreans

Kang-Jae Shin
1   Department of Anatomy, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Republic of Korea
,
Young-Chun Gil
1   Department of Anatomy, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Republic of Korea
,
Wu-Chul Song
1   Department of Anatomy, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Republic of Korea
,
Ki-Seok Koh
1   Department of Anatomy, Research Institute of Medical Science, Konkuk University School of Medicine, Seoul, Republic of Korea
,
Hyun-Gon Choi
2   Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
14. November 2014 (online)

Abstract

The aims of this study were to provide the various dimensions of the philtrum and upper red lip in Korean young adults and to identify morphological characteristics of these structures in Koreans. A total of 10 dimensions of the philtrum and upper red lip were measured in 251 healthy young adults. Various indices were calculated among the measured features. The philtrum could be classified into three types according to its shape and index data. The mean height of the philtrum was 15.6 mm and the mean width of the mouth was 45.5 mm. The width of the superior and inferior philtrum, the height of philtrum, the width of the mouth, and the height of the upper red lip were significantly larger in males than in females (p < 0.05). A subtle morphological difference in Cupid bow was observed between the genders. There was a negative correlation between the length of the philtral column and the height of the upper red lip (p < 0.05). Furthermore, differences were identified in the dimensions of the philtrum and the upper red lip between Koreans and Caucasians. The results of this study could be a useful morphological basis for correction and reconstruction of the upper lip.

 
  • References

  • 1 Jacono AA, Quatela VC. Quantitative analysis of lip appearance after V-Y lip augmentation. Arch Facial Plast Surg 2004; 6 (3) 172-177
  • 2 Sawyer AR, See M, Nduka C. 3D stereophotogrammetry quantitative lip analysis. Aesthetic Plast Surg 2009; 33 (4) 497-504
  • 3 Raschke GF, Rieger UM, Bader RD, Schultze-Mosgau S. Lip reconstruction: an anthropometric and functional analysis of surgical outcomes. Int J Oral Maxillofac Surg 2012; 41 (6) 744-750
  • 4 Farkas LG, Kolar JC. Anthropometrics and art in the aesthetics of women's faces. Clin Plast Surg 1987; 14 (4) 599-616
  • 5 Schneiderman CR, Harding JB. Social ratings of children with cleft lip by school peers. Cleft Palate J 1984; 21 (3) 219-223
  • 6 Broder H, Strauss RP. Self-concept of early primary school age children with visible or invisible defects. Cleft Palate J 1989; 26 (2) 114-117 , discussion 117–118
  • 7 Tobiasen JM, Hiebert JM. Clefting and psychosocial adjustment. Influence of facial aesthetics. Clin Plast Surg 1993; 20 (4) 623-631
  • 8 Emsen IM. Modification of the repair of a unilateral cleft lip. J Craniofac Surg 2008; 19 (5) 1330-1342
  • 9 Ferrario VF, Sforza C, Dellavia C, Tartaglia GM, Sozzi D, Carù A. A quantitative three-dimensional assessment of abnormal variations in facial soft tissues of adult patients with cleft lip and palate. Cleft Palate Craniofac J 2003; 40 (5) 544-549
  • 10 Koury ME, Epker BN. Maxillofacial esthetics: anthropometrics of the maxillofacial region. J Oral Maxillofac Surg 1992; 50 (8) 806-820
  • 11 Vegter F, Mulder JW, Hage JJ. Major residual deformities in cleft patients: a new anthropometric approach. Cleft Palate Craniofac J 1997; 34 (2) 106-110
  • 12 Farkas LG, Forrest CR, Phillips JH. Comparison of the morphology of the “cleft face” and the normal face: defining the anthropometric differences. J Craniofac Surg 2000; 11 (2) 76-82
  • 13 Edler R, Rahim MA, Wertheim D, Greenhill D. The use of facial anthropometrics in aesthetic assessment. Cleft Palate Craniofac J 2010; 47 (1) 48-57
  • 14 Farkas LG. Accuracy of anthropometric measurements: past, present, and future. Cleft Palate Craniofac J 1996; 33 (1) 10-18 , discussion 19–22
  • 15 Ferrario VF, Sforza C, Poggio CE, Serrao G. Facial three-dimensional morphometry. Am J Orthod Dentofacial Orthop 1996; 109 (1) 86-93
  • 16 Trenouth MJ, Laitung G, Naftel AJ. Differences in cephalometric reference values between five centres: relevance to the Eurocleft Study. Br J Oral Maxillofac Surg 1999; 37 (1) 19-24
  • 17 Bondarets N, McDonald F. Analysis of the vertical facial form in patients with severe hypodontia. Am J Phys Anthropol 2000; 111 (2) 177-184
  • 18 Farkas LG, Lindsay WK. Morphology of the adult face following repair of bilateral cleft lip and palate in childhood. Plast Reconstr Surg 1971; 47 (1) 25-32
  • 19 Ferrario VF, Sforza C, Serrao G. A three-dimensional quantitative analysis of lips in normal young adults. Cleft Palate Craniofac J 2000; 37 (1) 48-54
  • 20 Wong WW, Davis DG, Camp MC, Gupta SC. Contribution of lip proportions to facial aesthetics in different ethnicities: a three-dimensional analysis. J Plast Reconstr Aesthet Surg 2010; 63 (12) 2032-2039
  • 21 McCance AM, Moss JP, Fright WR, Linney AD, James DR. Three-dimensional analysis techniques—Part 1: Three-dimensional soft-tissue analysis of 24 adult cleft palate patients following Le Fort I maxillary advancement: a preliminary report. Cleft Palate Craniofac J 1997; 34 (1) 36-45
  • 22 Uemura T. A study of the figures of Japanese philtrum by measurement. J Jpn Soc Plast Reconstr Surg 1993; 13: 55-67
  • 23 Kishi N, Tanaka S, Iida S, Kogo M. Comprehensive evaluation of three-dimensional philtral morphology. J Craniofac Surg 2011; 22 (5) 1606-1611
  • 24 Lee JK, Chung KR, Baek SH. Treatment outcomes of orthodontic treatment, corticotomy-assisted orthodontic treatment, and anterior segmental osteotomy for bimaxillary dentoalveolar protrusion. Plast Reconstr Surg 2007; 120 (4) 1027-1036
  • 25 Park JU, Hwang YS. Evaluation of the soft and hard tissue changes after anterior segmental osteotomy on the maxilla and mandible. J Oral Maxillofac Surg 2008; 66 (1) 98-103
  • 26 Trisnawaty N, Ioi H, Kitahara T, Suzuki A, Takahashi I. Effects of extraction of four premolars on vermilion height and lip area in patients with bimaxillary protrusion. Eur J Orthod 2013; 35 (4) 521-528
  • 27 Sforza C, Ferrario VF. Three-dimensional analysis of facial morphology: growth, development and aging of the orolabial region. Ital J Anat Embryol 2010; 115 (1-2) 141-145