Sonographic analysis of the upper labial orbicularis oris and its clinical implications

Hyun Jin Park, Kyu Lim Lee, Young Chun Gil, Ji Hyun Lee, Kyung Seok Hu, Hee Jin Kim

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Background: Purse string lips, which include the vertical wrinkles over the lips, are frequently observed in aged individuals. Botulinum toxin and fillers are routinely injected into these areas to remove the wrinkles; however, the anatomy of the orbicularis oris muscle (OOr) near the vermilion border area has not been well defined. Objectives: The aim of this study was therefore to identify any morphological differences of the upper OOr via sonographic imaging. Methods: The upper lip muscles as observed utilizing an ultrasound device were divided into 2 muscles (pars peripheralis and pars marginalis) that were subsequently divided into a further 2 types (Type I and Type II) associated with the development of the pars marginalis. Type II was further divided into Type IIa and Type IIb depending on whether the muscle fibers were well developed and connected. Results: On the midline of the lip, Type I, in which the pars marginalis was rarely observed and only appeared in traces, was observed in 20.0% of the volunteers. Type IIa, in which the pars marginalis was well-developed and appeared continuous, was observed in 42.9% of the volunteers. Type IIb, in which the pars marginalis was observed but appeared discontinuous, was observed in 37.1% of the volunteers. Conclusions: The shapes of the upper pars marginalis of the OOr varied markedly between volunteers. Type classification of the OOr based on its shape and the lip appearance serves as a reliable source of reference information to be utilized when injecting botulinum toxin into the upper lip.

Original languageEnglish
Pages (from-to)778-783
Number of pages6
JournalAesthetic Surgery Journal
Issue number7
Publication statusPublished - 2020

Bibliographical note

Funding Information:
This work supported by the National Research Foundation of Korea (NRF) Grant funded by the Korea government (MEST) (No. NRF-2017R1A2B4003781).

Publisher Copyright:
© 2019 The Aesthetic Society.

All Science Journal Classification (ASJC) codes

  • Surgery


Dive into the research topics of 'Sonographic analysis of the upper labial orbicularis oris and its clinical implications'. Together they form a unique fingerprint.

Cite this