Muscles of the Lower Lip: Functional Anatomy, Innervation Patterns, and Nerve Injury Prevention

The DAO, mentalis, and platysma muscles are poly-innervated by buccal, MM, and cervical branches, while the DLI is mostly mono-innervated by cervical branches. Isolated MMn injury rarely worsens lower lip position, while injury to cervical branches to the DLI causes abnormal lower lip elevation and can be avoided by more caudal platysma myotomy.

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Publication Details

Journal
Plastic & Reconstructive Surgery
Published
2026-01-22
DOI
https://doi.org/10.1097/prs.0000000000012836
Primary Topic
Facial Rejuvenation and Surgery Techniques
Type
article
Field-Weighted Citation Impact
0.00
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article

Muscles of the Lower Lip: Functional Anatomy, Innervation Patterns, and Nerve Injury Prevention

Christine F. Johansen, Shai Michael Rozen, Lior Har-Shai, Sahejbir S. Bhatia
Plastic & Reconstructive Surgery
Facial Rejuvenation and Surgery Techniques
article

Muscles of the Lower Lip: Functional Anatomy, Innervation Patterns, and Nerve Injury Prevention

Christine F. Johansen, Shai Michael Rozen, Lior Har-Shai, Sahejbir S. Bhatia
article en

Abstract

The DAO, mentalis, and platysma muscles are poly-innervated by buccal, MM, and cervical branches, while the DLI is mostly mono-innervated by cervical branches. Isolated MMn injury rarely worsens lower lip position, while injury to cervical branches to the DLI causes abnormal lower lip elevation and can be avoided by more caudal platysma myotomy.

Plastic & Reconstructive Surgery
The University of Texas Southwestern Medical Center (US)
Openalex Percentile: Top 80%
Facial Rejuvenation and Surgery Techniques
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