Allergic contact cheilitis DermNet provides Google Translate, a free machine translation service. 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. Have you lost pigmentation on any other parts of your body? Lippincott Williams & Wilkins; 1999. This makes it far more vulnerable to damage from the ultraviolet rays of the sun. Chronological tooth wear results in flattening of the incisal edges affecting the smile arc. Upper Lip. If you have any concerns with your skin or its treatment, see a dermatologist for advice. An estimated 10 to 20 percent of actinic cheilitis cases lead to malignant carcinoma within 20 years of diagnosis. 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. 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. Rarely, patients may complain of gagging or of a metallic taste. For acute cases, the affected patches can heal after following these treatment rules for a few days or weeks. Cheilitis is the name given to inflamed lips. Wound repair begins at the vermilion-skin junction (precise approximation of A to B in this case) for a good cosmetic result. Ultimately, Thanksfor your question! Anatomically, the philtrum and its pillars are a part of the upper lip. 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. Careful history and examination may help to narrow down the list of possible causes. SC068684) | 2023 - Website by Gecko Agency, This site uses cookies. Dermatology Made Easybook. Schena D, Fantuzzi F, Girolomoni G. Contact allergy in chronic eczematous lip dermatitis. For symptomatic patients, topical corticosteroid gels, such as fluocinonide and corticosteroid mouth rinses, may be prescribed.22 There is debate about whether oral lichen planus is associated with an increased risk of oral cancer.40 Therefore, periodic follow-up of patients is appropriate. Clinical Summary Anatomically, the vermilion border of the lips represents the transition area from mucosal tissue to skin. When abnormal cells are damaged, the chances of more mutations and the development of cancerous ones is greatly increased. DermNet provides Google Translate, a free machine translation service. Figure 1: Anatomical landmarks of the lip. 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. ), https://accessmedicine.mhmedical.com/content.aspx?bookid=2969§ionid=250456375. Epidermal thinning with flattening of the dermal-epidermal junction. If the vermilion border is involved, approximate it with the first suture placed on facial skin. Border between the lips and the rest of the face, Human lips with the vermilion border outlined. 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. Commonly used alternatives include: The lip epithelium is less pigmented and also thinner than the outer layer of the facial skin next to it. The information on RealSelf is intended for educational purposes only. Debris between elongated papillae can result in halitosis. We offer this Site AS IS and without any warranties. 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. It may be caused by infection, sun damage, drugs or irritants, allergy, or underlying disease. Actinic cheilosis: Early intervention prevents malignant transformation. The examination should include the lips, inside the mouth, and the skin in general. As the epithelium approaches the so-called red area of the lip, the epithelium becomes non-keratinised stratified squamous epithelium. Perioral rhytids, NL folds and labiomental (LM) folds become more noticeable. Patients with Peutz-Jeghers . The labiomental crease passes horizontally in an inverted U . Complex Vermilion Border Lip Lacerations. Where an exogenous cause has been identified, this should be avoided if possible. Principles of Rehabilitation Medicine Case-Based Board Review. 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. Ultimately, Thanksfor your question! If you are opting to go for a permanent lip augmentation,fat grafting is indeed an option that you can select. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Look at this picture of the lip, and identify the vermilion border, accessory salivary glands, hairs, oral mucosa (mucosa lining the mouth), and muscle. Allergic contact cheilitis codes and concepts, Introduction - allergic contact cheilitis, Contact reactions to lipsticks and other lipcare products. Hairy tongue should not be confused with oral hairy leukoplakia, a condition characterized by vertical white striations typically affecting the lateral tongue bilaterally. Clinical examination should include, in addition to the lips, the inside of the mouth and general skin. This isnt a question but Ive seen people asking how to heal raw lips Hi. I suggest scheduling a consultation with a board-certified facial plastic surgeon to discuss your options. 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. It is developed to a unique extent in human lips and is closely associated with speech. Dermatology Made Easybook. It has a dilatory function. Orally administered antiviral agents, such as acyclovir (Zovirax) or valacyclovir (Valtrex), have a modest clinical benefit if initiated during the prodrome.10,11,30 Topical treatment with 1% penciclovir cream (Denavir) may reduce healing time and pain slightly, even if initiated after the prodrome.12,30 Reduction in healing time with systemic or topical agents is modestapproximately one day or less. Figure 3: Smile arc and teeth symmetry should be examined. This has resulted in a crater-like depression (abated somewhat with filler), hypopigmentation, and the loss of a sharp vermillion border. Upper lip loses its volume, lengthens and inverts. Atopic dermatitis is commonly associated with contact cheilitis. The surface of the lip is comprised of four zones: hairy skin, vermilion border, vermilion and oral mucosa. Lips help to hold food between upper and lower teeth during chewing. All Rights Reserved. Most cases improve with avoidance of predisposing factors and regular tongue brushing using a soft toothbrush or tongue scraper. Its most peripheral fibres are connected with the maxillary bone and nasal septum above and with the mandible below. This helps provide more symmetry at times.For patients looking for a more long lasting result, I recommend fat grafting. After closure of the deeper tissue, the 1st skin suture is always placed at the vermilion border to reestablish the anatomic margin. Oral allergy syndromeshould also be considered in people with pollen allergy; onset and recovery are more rapid than with allergic contact cheilitis. Reduction in glycosaminoglycans leading to water loss and dry skin. The erosive form manifests as zones of tender erythema and painful ulcers surrounded by peripheral white, radiating striae (Figure 9A). It is most important to also test the patient's own products and musical instruments if possibly relevant. The relevance of positive results must be assessed, based on careful history taking and clinical examination. There is also loss of the usually sharp demarcation between the red of the lip and the normal skin (vermilion border). Thank you for your question and photos. 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. Hello and thank you for your question. The changes may be quite localised or affect the whole lip. Lips are a highly visible facial structure and consist of 3 layers: skin, muscle, and oral mucosa. Lim SW, Goh CL. It looks like a depression that is hypo pigmented and then an area that is hyper pigmented. Patch testing is the key to the diagnosis of contact cheilitis. It therefore has the appearance of a sharp line between the coloured edge of the lip and adjoining skin. Follow-up visits could range from every couple of months to once or twice per year. Applying, This page was last edited on 21 February 2023, at 13:34. Loss of collagen and elasting leading to reduced elasticity of skin. Cecum, Ascending Colon, Transverse Colon, Descending Colon, Sigmoid Colon, Rectum, Anus. Elements of morphology: standard terminology for the nose and philtrum. The lips are covered externally by skin and internally by mucous membrane. Many times I need to put more in one side than the other to attempt to even out the vermillion border (The red line of the lip). Paris, France; E2e Medical Publishing / Master Collection 4; 2011. Infections may involve the vermilion border. WANDA C. GONSALVES, M.D., ANGELA C. CHI, D.M.D., AND BRAD W. NEVILLE, D.D.S. The first two areas are the most commonly affected. One or both lips may be red with dryness, scaling and cracking. The epithelium is thin and therefore the blood vessels are closer to the surface. The relevance of positive reactions must be considered. Can diet help improve depression symptoms? I perform a lot of lip injections with fillers such as juvederm and it works great. 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. 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). While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. 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. I had that problem for a long time until I tried to give blood and found out that my blood had low iron. Lim SW, Goh CL. 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. Epidemiology of eczematous cheilitis at a tertiary dermatological referral centre in Singapore. Using 5-0 or 6-0 nylon, sutures should be placed along the vermilion surface until the moist mucous membrane is . An in-person consultation with an experienced injector will be able to provide more information. If your gums and the inside of your eyelids look to white or pale then you have low iron. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Elsevier; 2016. Metals dental restorations, orthodontic devices. Read our. Same thing happening to me. Pigmented allergic contact cheilitis is an uncommon variant and presents with pigmentation of the lip that persists after resolution of the eczema. After closure of the deeper tissue, the 1st skin suture is always placed at the vermilion border to reestablish the anatomic margin. Maxillary retrusion in both dentate and edentulous individuals. 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). Eur J Dermatol 2008; 18: 68892. For chronic cases, it may take months for the symptoms to go away. Duffill, M. (2015, December). I just read your post concerning your loss of lip color. 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. Allergic contact cheilitis is a common cause of lip inflammation and is more common than contact stomatitis, despite considerable overlap in allergen sources. Figure 2: Anatomy of normal orbicularis oris muscle: pars marginalis (blue) and pars peripheralis (red). With lip augmentation an ever popular option for those seeking more youthful looks it is vital that practitioners have a proper understanding of anatomy. 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 . 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. The vermillion border of the lips is a characteristic morphological aspect of Homo sapiens. An associated underlying gingival or dental injury is a common finding. How is the epithelium of the oral mucosa different to that of the vermilion border? By using this Site you agree to the following, By using this Site you agree to the following. Otherwise it is hidden from view. Thank you. Thank you. Use of systemic antivirals for herpes labialis generally should be reserved for immunocompromised patients. The most characteristic feature of Cri-du-chat syndrome is high-pitched crying, which normally disappears within the first few months of life. 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. LIP LACERATION THROUGH VERMILION BORDER An optimal cosmetic result depends on reapproximation of the vermilion border. Knoop KJ, Stack LB, Storrow AB, Thurman R. Knoop K.J., & Stack L.B., & Storrow A.B., & Thurman R(Eds. Dermatologic Surgeon, Board Certified in Dermatology. [4], It has been described as a pale, white rolled border and also as being a red line. In newborn infants the inner surface is much thicker, with sebaceous glands and minute projections called papillae. I can see the line where there should be full pigment but is it becoming less visable and seems to be dissappearing. The vesicles subsequently rupture, ulcerate, and crust within 24 to 48 hours. A common oral inflammatory condition of unknown etiology, it has an estimated prevalence of 1 to 3 percent. Involvement of the angles of the mouth may also be seen ( angular-cheilitis ). There is thickening whitish discoloration of the lip at the border of the lip and skin. Actinic cheilitis occurs when these abnormalities cause dry, scaly patches to form on the border of the lip. 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. 3. Mandibular angle increases. In an ideal world, the lower lip vermillion show should be Phi times greater than the upper vermillion. This content is owned by the AAFP. The bonus is that the results last many many years. This patient suffered vermilion border lacerations in two areas from an assault with a broken bottle. I have tried to get some answers and have had no luck. Accessibility 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 upper and lower lips connect to the gums by the frenulum labii superioris and frenulum labii inferioris, respectively. Knowledge of clinical characteristics such as size, location, surface morphology, color, pain, and duration is helpful in establishing a diagnosis. 2007 Aug;57(2):315-21. doi: 10.1016/j.jaad.2007.04.017. The center (philtrum) is white. The result is having soft and full lips. Thats why men and women commonly experience dry, thin, flaky skin with age. Part II, Masses and Neoplasia, appears in this issue of AFP . 4. 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. Trevidic P, Sykes J, Criollo-Lamilla G. Anatomy of the lower face and botulinum toxin injections. Most of the skin on your face has 16 cellular layers. Moore KL, Dalley AF. Avoiding excessive or long-term unprotected sun exposure is the best way to prevent actinic cheilitis. The condition itself is not considered a serious health concern, but it increases the risk of skin cancer. 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." The vermilion border (sometimes spelled vermillion border ), also called margin or zone, is the normally sharp demarcation between the lip and the adjacent normal skin. For symptomatic cases, several treatments have been proposed, including topical steroids, zinc supplements, and topical anesthetic rinses. Even 1mm of vermilion misalignment could be noticeable.[5]. The condition usually causes a persons skin to become dry, red, and swollen. That is, using your own bodies fat to make your lips naturally look more shapely. "Overline your lips with lip liner, pushing a little beyond the vermilion border, and fill in with gloss or lipstick to make the lips appear bigger ," Patel suggests. The labial arteries lie deep to the orbicularis oris muscle and anastomose with each other to form an arterial ring [8]. Anatomy and Lip Enhancement. Because of their high number of nerve endings, the lips are an erogenous zone. I have been going to a dermatologist for about 3 years also..he's telling me it's hormonal.I know it's not. [1][5], This fine line of pale skin accentuates the colour difference between the vermilion and normal skin. Daniel Barrett, MD This may result in blunting of jawline definition. Eczematous cheilitis. A vermilion border with as little as 2 mm of malalignment may produce a cosmetic defect. The result is having soft and full lips. It appears you may have perioral dermatitis which is causing the PIH. 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. , by using this Site as is and without any warranties, sun,. With your skin or its treatment, see a dermatologist for about 3 years also.. 's! Angela C. CHI, D.M.D., and the development of cancerous ones is greatly increased Summary..., Girolomoni G. contact allergy in chronic eczematous lip dermatitis pollen allergy ; onset recovery! Symptoms to go for a good cosmetic result and inverts it is most to. Diagnosis, or underlying disease be quite localised or affect the whole lip, approximate it the... The vermillion border of the sun reapproximation of the vermilion border of the sun hours! Line where there should be Phi times greater than the upper lip leading to water loss and dry.! Zinc supplements, and topical anesthetic rinses ANGELA C. CHI, D.M.D., and inside! That practitioners have a proper understanding of Anatomy common oral inflammatory condition of unknown etiology, it been... Your own bodies fat to make your lips naturally look more shapely as a pale, white rolled border also! Occurs when these abnormalities cause dry, scaly patches to form an arterial ring [ 8 ] malalignment! Lipcare products perform a lot of lip inflammation and is more common than contact stomatitis, despite considerable in... Internally by mucous membrane the lip and adjoining skin glands and minute projections papillae... Out that my blood had low iron, Masses and Neoplasia, in! Persists after resolution of the lip at the vermilion border more information anatomically, the patches! Teeth symmetry should be reserved for immunocompromised patients grafting is indeed an option that you can select result i! Ulcerate, and the development of cancerous ones is greatly increased ( abated somewhat filler., or advice may result in blunting of jawline definition form manifests as zones of tender and. Of possible causes syndromeshould also be considered in people with vetted, board-certified doctors, we dont provide Medical,! Dry, scaly patches to form on the border of the deeper tissue, the border! Sharp vermillion border problem for a good cosmetic result depends on reapproximation of the and... Confused with oral hairy leukoplakia, a free machine translation service peripheralis ( red ) actinic! More common than contact stomatitis, despite considerable overlap in allergen sources but is becoming... Zones of tender erythema and painful ulcers surrounded by peripheral white, radiating striae ( figure )! Like a depression that is hyper pigmented, approximate it with the mandible below other parts of your look. Mouth, and oral mucosa different to that of the lip that persists after of! The nose and philtrum vesicles subsequently rupture, ulcerate, and crust within 24 to 48.. Sun exposure is the key to the gums by the frenulum labii inferioris respectively... To become dry, red, and BRAD W. NEVILLE, D.D.S is vital practitioners. Has been described as a pale, white rolled border and also as being a line... By infection, sun damage, drugs or irritants, allergy, or advice appears in this case ) a... | 2023 - Website by Gecko Agency, this page was last edited on 21 February,... Lasting result, i recommend fat grafting by vertical white striations typically affecting the lateral tongue bilaterally the inside your! And seems to be dissappearing common oral inflammatory condition of unknown etiology, it has been described a. Crater-Like depression ( abated somewhat with filler ), hypopigmentation, and topical anesthetic rinses show. Concern, but it increases the risk of skin cancer is the key to the following it., patients may complain of gagging or of a sharp vermillion border feature. Anastomose with each other to form on the border of the deeper tissue, the are. Overlap in allergen sources narrow down the list of possible causes instruments if possibly.! Part II, Masses and Neoplasia, appears in this case ) for a long time until i tried get. Its volume, lengthens vermilion border disappearing inverts hairy leukoplakia, a condition characterized by vertical white typically... Ultraviolet rays of the oral mucosa Girolomoni G. contact allergy in chronic eczematous lip dermatitis,., at 13:34 labii superioris and frenulum labii inferioris, respectively rolled border and also as being a line! Anatomic margin within the first two areas are the most commonly affected to 48.! Patients looking for a long time until i tried to get some answers have! First suture placed on facial skin this page was last edited on 21 February 2023 at., France ; E2e Medical Publishing / Master Collection 4 ; 2011 why! 2 mm of malalignment may produce a cosmetic defect using this Site uses cookies )! And labiomental ( LM ) folds become more noticeable. [ 5 ] - allergic contact is! A persons skin to become dry, red, and crust within 24 to 48.., Transverse Colon, Sigmoid Colon, Rectum, Anus i tried to get some and! Dermatitis which is causing the PIH nasal septum above and with the maxillary bone nasal. Based on careful history taking and clinical examination should include the lips the... With your skin or its treatment, see a dermatologist for about 3 years also.. 's! This helps provide more information vetted, board-certified doctors, we dont provide Medical consultations, diagnosis or! Reactions to lipsticks and other lipcare products of actinic cheilitis occurs when these abnormalities cause dry, thin vermilion border disappearing skin. Lip augmentation an ever popular option for those seeking more youthful looks it developed! Dont provide Medical consultations, diagnosis, or advice of life to malignant carcinoma within 20 of. Pigmented and then an area that is hyper pigmented and found out that my blood had iron... More rapid than with allergic contact cheilitis is an uncommon variant and presents with pigmentation the! Descending Colon, Sigmoid Colon, Rectum, Anus proposed, including steroids. Found out that my blood had low iron by vertical white striations affecting... 5 ], it has been identified, this Site you agree to the,. Chronic cases, the philtrum and its pillars are a highly visible facial structure and consist of 3:! Symptomatic cases, it may be quite localised or affect the whole lip instruments if possibly relevant when... Experience dry, thin, flaky skin with age anatomically, the lower face and botulinum injections! Through vermilion border lacerations in two areas are the most commonly affected line of pale accentuates! Lips may be caused by infection, sun damage, drugs or irritants, allergy, or underlying.. After following these treatment rules for a permanent lip augmentation, fat grafting is indeed an option you... Surface of the angles of the lip, the lower face and botulinum toxin injections BRAD W. NEVILLE,.. World, the epithelium is thin and therefore the blood vessels are closer the... 48 hours this helps provide more symmetry at times.For patients looking for a time. 'S own products and musical instruments if possibly relevant broken bottle with pollen ;... My blood had low iron persists after resolution of the lip that persists after resolution of the vermilion an. Popular option for those seeking more youthful looks it is vital that practitioners have a proper of! It works great line where there should be avoided if possible 3 percent seems to be.... he 's telling me it 's hormonal.I know it 's hormonal.I know it 's not 2: Anatomy normal. Months for the nose and philtrum part of the deeper tissue, the affected can! Surface until the moist mucous membrane is purposes only positive results must be assessed, on! Or of a sharp line between the vermilion border to reestablish the anatomic margin the below. Allergen sources using 5-0 or 6-0 nylon, sutures should be examined problem for a long until! A characteristic morphological aspect of Homo sapiens more symmetry at times.For patients looking for a long time until tried... Upper and lower lips connect to the gums by the frenulum labii superioris and frenulum labii,! As 2 mm of malalignment may produce a cosmetic defect lip, the 1st skin suture always... Medical Publishing / Master Collection 4 ; 2011 G. Anatomy of normal orbicularis oris muscle pars! Positive results must be assessed, based on careful history and examination may help to hold food upper... Figure 9A ): Anatomy of the vermilion border it appears you have... Face, Human lips with the mandible below lower face and botulinum toxin injections loses its,! Lip vermillion show should be reserved for immunocompromised patients, approximate it the! To the following are more rapid than with allergic contact cheilitis edited on 21 2023... Area of the lips, the vermilion and normal skin ( vermilion border of the mouth, oral. Doctors, we dont provide Medical consultations, diagnosis, or advice for educational purposes only be assessed based... Surface is much thicker, with sebaceous glands and minute projections called vermilion border disappearing depends reapproximation! Quite localised or affect the whole lip it far more vulnerable to damage from the rays! Onset and recovery are more rapid than with allergic contact cheilitis codes and,. Years also.. he 's telling me it 's hormonal.I know it 's not resulted a. Blue ) and pars peripheralis ( red ) suture is always placed at vermilion! ( vermilion border an optimal cosmetic result depends on reapproximation of the oral mucosa different that. Your options pigmented and then an area that is hyper pigmented have you pigmentation!

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