The Normal Philtrum

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The philtrum is the central unit of the upper lip. The central lip depression, or philtral dimple, is bordered:

a. On each side, by a philtral column
b. Above, by the nasal columella
c. Below, by the philtral tubercle.

The junction of the skin and vermilion is characterized by a linear prominence, named the mucocutaneous ridge by Marcks1 and referred to as the "white roll" by Gillies2(p. 142) . Thus, the philtral unit consists of the dimple, both columns, the tubercle, and the white roll between the two high points of cupid's bow. Maintaining the philtrum as a complete anatomic unit, neither discarding nor cutting into any part of this unit, is key to achieving excellent results in lip repair.

Fig. 2

 

 

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