White roll

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White roll on lips

White roll is the white line that borders the top of the upper lip.[1][2] It's an adnexal mass of specialized glands and fat. White roll occurs naturally for nearly everyone, although it can be not white and less visible for dark skinned individuals. Well defined white roll indicates youthfulness and is considered aesthetically pleasing.[3]

With age, white roll often becomes less defined.[4] This is due to sun damage, changes in facial fat, and decreasing collagen in the area right above the lip.[5] White roll can also be accentuated using injectable fillers.[6][7][8]

Sometimes white roll is absent or damaged, due to trauma or cleft lip, in which case it could be reconstructed with plastic surgery.[9][10][11] However, it is difficult to achieve satisfactory results using surgery, because malalignment of even a millimeter is noticeable and unattractive. It is therefore sometimes tattooed instead.[12]

See also


  1. ^ Kozakewich, H. P.; Pensler, J. M.; Mulliken, J. B. (September 1993). "The anatomy of Cupid's bow in normal and cleft lip". Plastic and Reconstructive Surgery. 92 (3): 395–403, discussion 404. doi:10.1097/00006534-199309000-00001. ISSN 0032-1052. PMID 8341737.
  2. ^ "ScienceDirect: Cleft Lip and Palate". Otolaryngologic Clinics of North America. 33 (6): 1191–1215. December 2000. doi:10.1016/S0030-6665(05)70277-2.
  3. ^ Sanniec, Kyle J.; Carboy, Jourdan A.; Thornton, James F. (May 2018). "Simplifying Lip Reconstruction: An Algorithmic Approach". Seminars in Plastic Surgery. 32 (2): 69–74. doi:10.1055/s-0038-1645882. ISSN 1535-2188. PMC 5951711. PMID 29765270.
  4. ^ "The Anti-Aging Guide for Lips". www.yahoo.com. Retrieved 2019-05-08.
  5. ^ Strugatz, Rachel; Strugatz, Rachel (2016-11-22). "Kylie Jenner Spurs Lip Plumper Craze in Beauty Market". WWD. Retrieved 2019-05-08.
  6. ^ Blandford, Alexander D.; Hwang, Catherine J.; Young, Jason; Barnes, Alexander C.; Plesec, Thomas P.; Perry, Julian D. (2018). "Microanatomical Location of Hyaluronic Acid Gel Following Injection of the Upper Lip Vermillion Border: Comparison of Needle and Microcannula Injection Technique". Ophthalmic Plastic and Reconstructive Surgery. 34 (3): 296–299. doi:10.1097/IOP.0000000000000960. ISSN 0740-9303. PMC 5773414. PMID 28723735.
  7. ^ Jacono, Andrew A. (2008-01-01). "A New Classification of Lip Zones to Customize Injectable Lip Augmentation". Archives of Facial Plastic Surgery. 10 (1): 25–29. doi:10.1001/archfaci.10.1.25. ISSN 1521-2491. PMID 18209119.
  8. ^ "Medscape: A 25-Year-Old Woman Seeking Subtle Lip Enhancement". login.medscape.com. Retrieved 2019-05-08.
  9. ^ Chandran, Geethan; Lalonde, Donald H (2013). "Obtaining a good lip roll in congenital, secondary and traumatic cleft lip repairs". The Canadian Journal of Plastic Surgery. 21 (4): 248. doi:10.1177/229255031302100409. ISSN 1195-2199. PMC 3910528. PMID 24497768.
  10. ^ Mishra, R. K.; Agarwal, Amit (2015). "White Roll Vermilion turn down flap in primary unilateral cleft lip repair: A novel approach". Indian Journal of Plastic Surgery. 48 (2): 178–184. doi:10.4103/0970-0358.163057. ISSN 0970-0358. PMC 4564503. PMID 26424983.
  11. ^ Murthy, Jyotsna (2018). "The refinement of the median tubercle of cleft lip". Indian Journal of Plastic Surgery. 51 (2): 131–136. doi:10.4103/ijps.IJPS_214_17. ISSN 0970-0358. PMC 6219361. PMID 30505082.
  12. ^ "Correction of Secondary Cleft Lip Deformities (PDF)" (PDF).
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