The anatomy of the labiomandibular fold

Joel E. Pessa, Peter A. Garza, Vernon M. Love, Vikram P. Zadoo, Jaime R. Garza

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

The anatomy of the labiomandibular fold was evaluated in a series of 12 fresh hemifacial cadaver dissections. The techniques of methylene blue dye injection, histologic evaluation, and gross dissection all confirm that the labiomandibular fold has distinct anatomic boundaries. The superior boundary is formed by the cutaneous insertion of the depressor anguli oris muscle at the labiomandibular crease. The inferior boundary is determined by the mandibular ligament, which has been previously described. The cutaneous insertion of the depressor muscle and the mandibular ligament act as relative points of fixation. The dynamic forces of both aging and facial animation act about these two points to create the typical appearance of the labiomandibular fold. This anatomy is consistent with that seen in other areas of the face such as the nasolabial and nasojugal folds, where the dermal insertion of muscle and/or fascia defines an anatomically distinct region. Clinically, this anatomy may suggest that a subcutaneous plane of dissection during the face lift procedure may allow manipulation and reduction of the fat that was noted lateral to the dermal insertion of the depressor anguli muscle. Subcutaneous dissection also avoids lateral pull on the platysma muscle, which may tend to accentuate and distort the labiomandibular crease due to its intimate association with the overlying depressor muscle.

Original languageEnglish (US)
Pages (from-to)482-486
Number of pages5
JournalPlastic and Reconstructive Surgery
Volume101
Issue number2
DOIs
StatePublished - Feb 1998

Fingerprint

Anatomy
Dissection
Muscles
Skin
Ligaments
Nasolabial Fold
Rhytidoplasty
Methylene Blue
Fascia
Cadaver
Coloring Agents
Fats
Injections

ASJC Scopus subject areas

  • Surgery

Cite this

Pessa, J. E., Garza, P. A., Love, V. M., Zadoo, V. P., & Garza, J. R. (1998). The anatomy of the labiomandibular fold. Plastic and Reconstructive Surgery, 101(2), 482-486. https://doi.org/10.1097/00006534-199802000-00037

The anatomy of the labiomandibular fold. / Pessa, Joel E.; Garza, Peter A.; Love, Vernon M.; Zadoo, Vikram P.; Garza, Jaime R.

In: Plastic and Reconstructive Surgery, Vol. 101, No. 2, 02.1998, p. 482-486.

Research output: Contribution to journalArticle

Pessa, JE, Garza, PA, Love, VM, Zadoo, VP & Garza, JR 1998, 'The anatomy of the labiomandibular fold', Plastic and Reconstructive Surgery, vol. 101, no. 2, pp. 482-486. https://doi.org/10.1097/00006534-199802000-00037
Pessa, Joel E. ; Garza, Peter A. ; Love, Vernon M. ; Zadoo, Vikram P. ; Garza, Jaime R. / The anatomy of the labiomandibular fold. In: Plastic and Reconstructive Surgery. 1998 ; Vol. 101, No. 2. pp. 482-486.
@article{d79b77ce1c584545b368e449e2454940,
title = "The anatomy of the labiomandibular fold",
abstract = "The anatomy of the labiomandibular fold was evaluated in a series of 12 fresh hemifacial cadaver dissections. The techniques of methylene blue dye injection, histologic evaluation, and gross dissection all confirm that the labiomandibular fold has distinct anatomic boundaries. The superior boundary is formed by the cutaneous insertion of the depressor anguli oris muscle at the labiomandibular crease. The inferior boundary is determined by the mandibular ligament, which has been previously described. The cutaneous insertion of the depressor muscle and the mandibular ligament act as relative points of fixation. The dynamic forces of both aging and facial animation act about these two points to create the typical appearance of the labiomandibular fold. This anatomy is consistent with that seen in other areas of the face such as the nasolabial and nasojugal folds, where the dermal insertion of muscle and/or fascia defines an anatomically distinct region. Clinically, this anatomy may suggest that a subcutaneous plane of dissection during the face lift procedure may allow manipulation and reduction of the fat that was noted lateral to the dermal insertion of the depressor anguli muscle. Subcutaneous dissection also avoids lateral pull on the platysma muscle, which may tend to accentuate and distort the labiomandibular crease due to its intimate association with the overlying depressor muscle.",
author = "Pessa, {Joel E.} and Garza, {Peter A.} and Love, {Vernon M.} and Zadoo, {Vikram P.} and Garza, {Jaime R.}",
year = "1998",
month = "2",
doi = "10.1097/00006534-199802000-00037",
language = "English (US)",
volume = "101",
pages = "482--486",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - The anatomy of the labiomandibular fold

AU - Pessa, Joel E.

AU - Garza, Peter A.

AU - Love, Vernon M.

AU - Zadoo, Vikram P.

AU - Garza, Jaime R.

PY - 1998/2

Y1 - 1998/2

N2 - The anatomy of the labiomandibular fold was evaluated in a series of 12 fresh hemifacial cadaver dissections. The techniques of methylene blue dye injection, histologic evaluation, and gross dissection all confirm that the labiomandibular fold has distinct anatomic boundaries. The superior boundary is formed by the cutaneous insertion of the depressor anguli oris muscle at the labiomandibular crease. The inferior boundary is determined by the mandibular ligament, which has been previously described. The cutaneous insertion of the depressor muscle and the mandibular ligament act as relative points of fixation. The dynamic forces of both aging and facial animation act about these two points to create the typical appearance of the labiomandibular fold. This anatomy is consistent with that seen in other areas of the face such as the nasolabial and nasojugal folds, where the dermal insertion of muscle and/or fascia defines an anatomically distinct region. Clinically, this anatomy may suggest that a subcutaneous plane of dissection during the face lift procedure may allow manipulation and reduction of the fat that was noted lateral to the dermal insertion of the depressor anguli muscle. Subcutaneous dissection also avoids lateral pull on the platysma muscle, which may tend to accentuate and distort the labiomandibular crease due to its intimate association with the overlying depressor muscle.

AB - The anatomy of the labiomandibular fold was evaluated in a series of 12 fresh hemifacial cadaver dissections. The techniques of methylene blue dye injection, histologic evaluation, and gross dissection all confirm that the labiomandibular fold has distinct anatomic boundaries. The superior boundary is formed by the cutaneous insertion of the depressor anguli oris muscle at the labiomandibular crease. The inferior boundary is determined by the mandibular ligament, which has been previously described. The cutaneous insertion of the depressor muscle and the mandibular ligament act as relative points of fixation. The dynamic forces of both aging and facial animation act about these two points to create the typical appearance of the labiomandibular fold. This anatomy is consistent with that seen in other areas of the face such as the nasolabial and nasojugal folds, where the dermal insertion of muscle and/or fascia defines an anatomically distinct region. Clinically, this anatomy may suggest that a subcutaneous plane of dissection during the face lift procedure may allow manipulation and reduction of the fat that was noted lateral to the dermal insertion of the depressor anguli muscle. Subcutaneous dissection also avoids lateral pull on the platysma muscle, which may tend to accentuate and distort the labiomandibular crease due to its intimate association with the overlying depressor muscle.

UR - http://www.scopus.com/inward/record.url?scp=0031908314&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031908314&partnerID=8YFLogxK

U2 - 10.1097/00006534-199802000-00037

DO - 10.1097/00006534-199802000-00037

M3 - Article

C2 - 9462785

AN - SCOPUS:0031908314

VL - 101

SP - 482

EP - 486

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 2

ER -