The Philtrum
The anatomical area between the nose and upper lip is called the philtrum 1.
Anatomical Definition
The philtrum is a specific facial landmark that serves as a key reference point in facial analysis and surgical planning. In the context of facial asymmetry assessment, the philtrum is identified as one of the midline vertical structures that should ideally align with other facial landmarks including the glabella, nasal dorsum, nasal tip, columella base (nasal spine), upper incisors, and menton 1.
Clinical Relevance
The philtrum's position is evaluated when:
- Assessing facial symmetry - It should lie along the midline vertical axis when the head is in the Frankfurt position
- Planning rhinoplasty or facial reconstruction - Its alignment relative to other facial structures guides surgical correction
- Evaluating craniofacial deformities - Deviation from midline may indicate underlying skeletal asymmetries
The philtrum represents a consistent soft tissue landmark used in both clinical examination and photographic analysis for surgical planning, particularly in rhinoplasty and correction of facial asymmetries 1.