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Updated: May 5, 2026
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Validation of a Psychosocial Intervention on Body Image in Older People: An Experimental Design
Published on: May 31, 2021
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Perioral aging--an anthropometric appraisal
Gregor F Raschke1, Ulrich M Rieger2, Rolf-Dieter Bader3
1Department of Cranio-Maxillofacial Surgery & Plastic Surgery, Friedrich Schiller University Jena, Erlanger Allee 101, 07747 Jena, Germany; Interdisciplinary Research Groupe of Computational Medicine, Friedrich Schiller University Jena, Erlanger Allee 101, 07747 Jena, Germany.
Summary
Facial aging causes significant changes in lip morphology, including decreased vermilion height and enlarged cutaneous lips. Alcohol and nicotine abuse exacerbate lip sagging, impacting perioral rejuvenation outcomes.
Area of Science:
- Aesthetic medicine
- Anthropometry
- Gerontology
Background:
- Facial aging leads to morphologic changes in the perioral region.
- Understanding these changes is crucial for effective perioral rejuvenation procedures.
- Anthropometric analysis of facial photographs can quantify age-related morphologic alterations.
Purpose of the Study:
- To investigate age-related morphologic changes in the perioral region of male individuals.
- To assess the influence of alcohol and nicotine abuse on these age-related changes.
- To evaluate the utility of photo-assisted anthropometric measurements in studying perioral aging.
Main Methods:
- Standardized frontal and profile photographs of 346 male individuals were analyzed.
- Twelve anthropometric indices were used to measure perioral structures.
- Three groups were compared: young adults (approx. 20 years), older adults (approx. 60 years), and older adults with a history of alcohol and nicotine abuse.
Main Results:
- Aging significantly decreased the vertical height of the upper and lower vermilion and increased the relative cutaneous lip height.
- These aging effects were more pronounced in the upper vermilion and medial upper lips.
- Alcohol and nicotine abuse significantly exacerbated upper lip sagging, particularly in the medial portion, compared to non-abusers.
Conclusions:
- Photo-assisted anthropometric measurements provide reproducible data on perioral aging.
- Age-related changes in lip morphology include vermilion height reduction and cutaneous lip enlargement.
- Combined alcohol and nicotine abuse significantly worsens lip sagging, a key factor in perioral aging.
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