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# Depressor labii inferioris

The depressor labii inferioris is a small muscle from the lower jaw to the lower lip; it pulls the lower lip down.

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## What it is

A small muscle from the jaw to the lower lip.

## What it does

Pulls the lower lip down.

## Key points

- The muscle tested by asking the person to show the lower teeth; it fails when the marginal mandibular branch of the [facial nerve](https://durgical.com/en/anatomy/facial-nerve/) is cut
- Lies deep and medial to the depressor anguli oris; the mental nerve emerges from the mental foramen beneath them
- Cervical branch injury can mimic its paralysis through loss of the platysma

## Key facts

**Origin**
Oblique line of the mandible

**Insertion**
Lower lip

**Action**
Pulls the lower lip down

**Nerve**
Facial nerve (CN VII): marginal mandibular branch

**Blood supply**
[Facial artery](https://durgical.com/en/anatomy/facial-artery/) branches

## Relations

**Superficial**
[Depressor anguli oris](https://durgical.com/en/anatomy/depressor-anguli-oris/) laterally and the [skin](https://durgical.com/en/anatomy/skin/) of the chin; fibres of the [platysma](https://durgical.com/en/anatomy/platysma/) blend into it

**Deep**
[Mandible](https://durgical.com/en/anatomy/mandible/) and the [mental foramen](https://durgical.com/en/anatomy/mental-foramen/) with the mental nerve and vessels; the lower lip mucosa above

**Medial**
The opposite muscle and the [mentalis](https://durgical.com/en/anatomy/mentalis-muscle/), which lies deeper in the midline

**Above**
[Orbicularis oris](https://durgical.com/en/anatomy/orbicularis-oris-muscle/) in the lower lip

## How to find it

Asked to show the lower teeth, a small sheet of muscle draws the lower lip down and out on each side of the chin.

## Examination

- Showing the lower teeth: on the weak side the lower lip stays up and the smile is asymmetric
- Lip eversion test: if the person can still evert the lower lip (mentalis intact) but cannot draw it down, a cervical branch or platysma problem is more likely than a marginal mandibular one

## On imaging

Rarely imaged on its own: on CT or MRI it is only a faint layer in the chin soft tissue, lateral to the mentalis, over the mental foramen. When the lower lip droops on one side, imaging looks at the facial nerve instead: ultrasound or MRI of the parotid and of the angle of the mandible for a mass along the marginal mandibular branch.

## Clinical notes

- The marginal mandibular branch runs deep to the platysma near the lower border of the mandible and can dip below it, so neck incisions for the [submandibular gland](https://durgical.com/en/anatomy/submandibular-gland/) are placed a couple of fingerbreadths below the jaw
- Selective weakening of the healthy side's depressor (surgery or toxin injection) is used to balance a lopsided smile after facial palsy

## Development

Second pharyngeal arch muscle, supplied by the facial nerve.

## Test yourself

Think of the answer, then tap the question to see it.

## How is the depressor labii inferioris tested, and which nerve branch does it check?

By asking the person to show the lower teeth; it fails when the marginal mandibular branch of the facial nerve is cut.

## How does the lip eversion test separate a cervical branch from a marginal mandibular branch injury?

If the person can evert the lower lip (mentalis intact) but cannot draw it down, a cervical branch or platysma problem is more likely.

## Which nerve emerges beneath the depressor labii inferioris?

The mental nerve, from the mental foramen beneath the depressor labii inferioris and depressor anguli oris.

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Educational information, not medical advice. For any symptom, see a health professional.

## Its names

**Official Latin (TA2)**
depressor labii inferioris TA2 2083

**Official Spanish (DeCS)**
Músculo depresor del labio inferior

**English (TA2)**
Depressor labii inferioris

**Also called**
depressor labii inferioris muscle · quadratus labii inferioris muscle · muscle of Aeby · musculus quadratus labii inferioris · musculus labii mandibularis

## Related

- [Facial nerve (VII)](https://durgical.com/en/anatomy/facial-nerve/)

Sources: Terminologia Anatomica (TA2); [Anatomy, Head and Neck: Facial Muscles](https://www.ncbi.nlm.nih.gov/books/NBK493209/); [Anatomy, Head and Neck, Lips](https://www.ncbi.nlm.nih.gov/books/NBK507900/).

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Representative model, for educational purposes only.

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Source: https://durgical.com/en/anatomy/depressor-labii-inferioris/
License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/anatomy/depressor-labii-inferioris/
