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Analysis of the Columellar-Labial Angle in Perioral Aging
Bruna Felix Bravo1, Stephanie Bianco2, Julien Totti de Bastos3
1Head of the Cosmetic Dermatology Department in Santa Casa de Misericórdia Hospital, Rio de Janeiro, Brazil.
Background:
The young face presents a convex and rounded aspect; with aging, this changes to a more concave and flattened aspect, with the angles of the face undergoing changes through soft tissue repositioning and bone remodeling. The columellar-labial angle is one of the features that change.
Objectives:
The objective of the present study was to analyze the columellar-labial angle at different stages of adult life and assess its contribution to facial changes during aging.
Methods:
We analyzed a database (December 2017-March 2018) of 722 female patients, aged 21 to 88 years, and obtained anthropometric measurements of the columellar-labial angle with a Canfield Vectra 3D image analysis system. Our database originates from a private clinic where all patients were registered and photographed.
Results:
Our analysis showed a decrease in the columellar-labial angle, mainly observed from patients aged 60 years and older. This decrease can be explained by the absorption of body structures that occurs during aging.
Conclusions:
The columellar-labial angle decreases with age, and this finding may provide a better understanding of the transformation that occurs with aging. Obtaining a clearer view of the changes that occur in the face will improve treatments for facial rejuvenation, either conservative or surgical, and provide a basis for future studies and knowledge expansion.
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