Double island pedicle or V-Y flap repair for partial-thickness combined defects of the cutaneous and mucosal lip

Myomucosal Lip Island Flap for Reconstruction of Small to Medium Lower Lip Defects

“…Smaller superficial vermilion defects can also be addressed with linear closure or secondary intention healing, both risking lip contour distor-tion. 9,10,15 V-Y mucosal advancements both laterally 9 and vertically 13 can also be used for smaller superficial defects. Although they are tissue sparing, these flaps risk lip distortion due to localized tension effect.…”

“…For small superficial Mohs defects, alternatives to traditional mucosal advancement such as V-Y mucosal advancements can also be used. 9,10,13 Our article looks at the application of the lateral myomucosal lip island flaps for more challenging small to medium mucosal and muscle defects. In comparison with existing techniques, these flaps avoid additional adjacent tissue excision.…”

Repair of cutaneous and mucosal upper lip defects using double V‐Y advancement flaps

“…14 Repair based on aesthetic subunits is widely recognized as the principle for treatments at present. Consequently, the following repair principles were adopted for the patients described in this investigation 15 In small mucosal flap designs, it is necessary to perform submucosal dissection to increase tissue mobility, which would aggravate trauma, increase tensions after suturing, and is unfavorable to reconstruct the vermilion border. 16 Small mucosal defects can be managed by stage II healing while still achieving excellent aesthetic outcomes.…”

“…The V-Y advancement flaps are suitable for small-to medium-sized defects of the lateral upper lip. A defect with a maximum diameter of 5−20 mm is the optimal indication 15. In this study, transverse V-Y advancement flaps were adopted to repair skin defects, and the design approaches were similar to the surgical procedures reported by F I G U R E 2 Surgical design and procedures.…”

A Modified Single-Step Method to Repair a Central Defect of the Upper Lip

“…In the lip, it is essential to keep the border between the vermilion and the normal skin, also named line of Klein. An alteration in this line generates a significant disfigurement causing an appreciable alteration in patient's self-image and social relationships [6][7][8][9][10][11][12][13][14][15].…”