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Small defects of the upper and lower lip can be closed primarily. For the upper lip, defects of up to 1/4 (25%) of the lip may be closed primarily. For the lower lip, defects of up to 1/3 of the lip may be closed primarily. This means the edges of the defect are simply sutured together in three layers: oral mucosa, muscle, and skin.
The commissure is the corner of the mouth, where the vermillion border of the superior labium (upper lip) meets that of the inferior labium (lower lip). The commissure is important in facial appearance, particularly during some functions, including smiling. As such it is of interest to dental surgeons.
A labial frenectomy is a form of frenectomy performed on the lip. The labial frenulum , also known as lip-tie, often attaches to the center of the upper lip and between the upper two front teeth. This can cause a large gap and gum recession by pulling the gums off the bone.
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
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. It represents the change in the epidermis from highly keratinized external skin to less keratinized internal skin. It has no sebaceous glands, sweat glands, or facial hair. [1] [2]
In a major injury, if epithelial cell migration and tissue contraction cannot cover the wound, suturing the edges of the injured skin together, or even replacement of lost skin with skin grafts, may be required to restore the skin. As epithelial cells continue to migrate around the scab, the dermis is repaired by the activity of stem cells.
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Among other procedures it includes lip reduction, the process of surgically reducing the size of the lip or lips to reduce the appearance of abnormally large or protruding lips, as well as the process of forming an artificial tip or part of the lips by using a piece of healthy tissue from some neighboring part. The procedure can also larger.
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