White roll explained

White roll is the white line that borders the top of the upper lip.[1] [2] It is an adnexal mass of specialized glands and fat. White roll occurs naturally for nearly everyone, although it can be not white and less visible for dark skinned individuals. Well defined white roll indicates youthfulness and is considered aesthetically pleasing.[3]

With age, white roll often becomes less defined.[4] This is due to sun damage, changes in facial fat, and decreasing collagen in the area right above the lip.[5] White roll can also be accentuated using injectable fillers.[6] [7] [8]

Sometimes white roll is absent or damaged, due to trauma or cleft lip, in which case it could be reconstructed with plastic surgery.[9] [10] However, it is difficult to achieve satisfactory results using surgery, because malalignment of even a millimeter is noticeable and unattractive. It is therefore sometimes tattooed instead.[11]

See also

Notes and References

  1. Mulliken . John B. . Pensler . Jay M. . Kozakewich . Harry P.W. . The Anatomy of Cupidʼs Bow in Normal and Cleft Lip . Plastic and Reconstructive Surgery . September 1993 . 92 . 3 . 395–403 . 10.1097/00006534-199309000-00001 . 8341737 . 44800426 .
  2. Kirschner . Richard E. . LaRossa . Don . Cleft Lip and Palate . Otolaryngologic Clinics of North America . December 2000 . 33 . 6 . 1191–1215 . 10.1016/s0030-6665(05)70277-2 . 11449783 .
  3. Sanniec . Kyle . Carboy . Jourdan . Thornton . James . Simplifying Lip Reconstruction: An Algorithmic Approach . Seminars in Plastic Surgery . May 2018 . 32 . 2 . 069–074 . 10.1055/s-0038-1645882 . 29765270 . 5951711 .
  4. News: Rosenstein . Jenna . Do You Have an Anti-Aging Routine for Your Lips? . . Harper's Bazaar . 24 February 2020 .
  5. News: Strugatz . Rachel . Kylie Jenner Spurs Lip Plumper Craze in Beauty Market . WWD . 22 November 2016 .
  6. Blandford . Alexander D. . Hwang . Catherine J. . Young . Jason . Barnes . Alexander C. . Plesec . Thomas P. . Perry . Julian D. . Microanatomical Location of Hyaluronic Acid Gel Following Injection of the Upper Lip Vermillion Border: Comparison of Needle and Microcannula Injection Technique . Ophthalmic Plastic & Reconstructive Surgery . May 2018 . 34 . 3 . 296–299 . 10.1097/IOP.0000000000000960 . 28723735 . 5773414 .
  7. Jacono . Andrew A. . A New Classification of Lip Zones to Customize Injectable Lip Augmentation . Archives of Facial Plastic Surgery . 1 January 2008 . 10 . 1 . 25–29 . 10.1001/archfaci.10.1.25 . 18209119 .
  8. News: Sundaram . Hema . A 25-Year-Old Woman Seeking Subtle Lip Enhancement . Medscape .
  9. Chandran . Geethan . Lalonde . Donald H . Obtaining a good lip roll in congenital, secondary and traumatic cleft lip repairs . Canadian Journal of Plastic Surgery . December 2013 . 21 . 4 . 248 . 10.1177/229255031302100409 . 24497768 . 3910528 .
  10. Murthy . Jyotsna . The refinement of the median tubercle of cleft lip . Indian Journal of Plastic Surgery . May 2018 . 51 . 2 . 131–136 . 10.4103/ijps.IJPS_214_17 . 30505082 . 6219361 . free .
  11. Stal . Samuel . Hollier . Larry . Correction of Secondary Cleft Lip Deformities . Plastic and Reconstructive Surgery . April 2002 . 109 . 5 . 1672–1681 . 10.1097/00006534-200204150-00031 . 11932617 .

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