ePlasty: Vol. 11
Upper Lip Basal Cell Carcinoma Reconstruction Based on Anatomical Characteristics Using Skin-Mucosa Double Opposing V-Y Advancement Flap
Dinh T. Nguyen, MD, Koichiro Oki, MD, PhD,a Hiko Hyakusoku, MD, PhD,a and Rei Ogawa, MD, PhDa

aDepartment of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan; Dr Nguyen is in private practice at Boston, MA.

Correspondence: r.ogawa@nms.ac.jp

Background: Upper lip defects less than one-fourth of total upper lip length are typically closed directly, but larger defects require reconstruction. Established techniques, such as the Abbe/Estlander flap, often require multiple procedures. This report discusses a single-step method, involving a skin-mucosa double opposing V-Y advancement flap, which was utilized to reconstruct the upper lip after basal cell carcinoma extirpation. Methods: The patient is a 54-year-old woman who presented with a 2.5-cm basal cell carcinoma in the right upper lip. Two parallel V-Y flaps were designed, on “parallel” planes of the skin and mucosa, and were advanced following wedge resection of tumor and portion of the adjacent orbicularis oris muscle. Skin/mucosa flap edges were brought to create a new skin-vermilion border, which was then sutured onto existing skin-vermilion border edges. Results: The patient was evaluated 6 months after the operation, and examination showed well-healed flaps with excellent aesthetic and functional resu .......