Evidence map›Paper›PMID 40044977›Full record

ArticleAesthetic plastic surgery2025

Revealing the Perfect Smile: How Philtrum Length Shapes Lip Beauty.

Rui Zeng, Emily Glaue, Nicholas Moellhoff, Kyu-Ho Yi, Alexandra Anker, Philipp Unbehaun, Vanessa Brébant, Wei-Jin Hong, Lukas Prantl, Konstantin Frank

Abstract read
In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. LA VISIONAesthetic plastic surgery · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rui ZengDepartment for Hand, Plastic and Aesthetic Surgery, Ludwig - Maximilian University Munich, Munich, Germany.
Emily GlaueDepartment of Otorhinolaryngology, University Hospital Regensburg, Regensburg, Germany.
Nicholas MoellhoffDepartment for Hand, Plastic and Aesthetic Surgery, Ludwig - Maximilian University Munich, Munich, Germany.
Kyu-Ho YiMaylin Clinic (Apgujeong), Seoul, Korea.
Alexandra AnkerAesthetic, Hand and Reconstructive Surgery, University Center for Plastic, University Hospital Regensburg, Regensburg, Germany.
Philipp UnbehaunAesthetic, Hand and Reconstructive Surgery, University Center for Plastic, University Hospital Regensburg, Regensburg, Germany.
Vanessa BrébantAesthetic, Hand and Reconstructive Surgery, University Center for Plastic, University Hospital Regensburg, Regensburg, Germany.
Wei-Jin HongDepartment of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, Guangzhou, China.
Lukas PrantlAesthetic, Hand and Reconstructive Surgery, University Center for Plastic, University Hospital Regensburg, Regensburg, Germany.
Konstantin FrankAesthetic, Hand and Reconstructive Surgery, University Center for Plastic, University Hospital Regensburg, Regensburg, Germany. konstantinfrank@me.com.ORCID 0000-0001-6994-8877

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLips significantly influence facial aesthetics, driving the growing demand for lip augmentation procedures, particularly the bullhorn lip lift. As aesthetic medicine becomes more diverse with globalization, understanding how ethnicity affects aesthetic perceptions of lips is increasingly important.

objectivesTo examine the philtrum length and lip proportions in the context of different ethnic backgrounds, recognizing the increasing globalization of beauty standards.

methodsFive frontal facial images of females from diverse ethnic groups-African, Asian, Caucasian, Latino, and Middle Eastern-were generated using Midjourney and were edited to simulate various degrees of philtrum shortening and corresponding changes in the upper vermillion height and maxillary incisor show. An online survey was then conducted to gather participant feedback on the aesthetic appeal of the lips in each image, using a 5-point Likert scale.

resultsA total of 570 respondents participated in the study. Overall, the most preferred lips were those with a 1 mm incisor show in African and Asian images, while lips with a 0.5 mm incisor show were favored in Caucasian and Latino images, and 0 mm in Middle Eastern images. The least favored lips were predominantly those with a 4 mm incisor show. Preferences across age and ethnic groups primarily favored the 0 mm, 0.5 mm, and 1 mm incisor shows.

conclusionsThis study provides valuable insights into the complex relationship between philtrum length and the perception of beauty. The findings emphasize the importance of achieving a balanced aesthetic that aligns with the patient's cultural background and personal preferences. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266 .

Indexed as

BeautyEthnicityLipSmilingAdolescentAdultAgedEstheticsFemaleHumansMiddle AgedYoung AdultEthnic beauty standardsFacial proportionsLip aestheticsPhiltrum length

Identifiers

PMID40044977
PMCPMC12310804

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.