ePlasty: Vol. 20
Restoring a Musician's Career: The Use of AlloDerm and a Local Advancement Flap in Lip Augmentation
James Lee, MD,a Elisa K. Atamian, MS,a and Christopher R. Babycos, MD, FACSa,b

aDivision of Plastic Surgery, Department of Surgery, Tulane University School of Medicine, New Orleans, La; and bDivision of Plastic Surgery, Department of Surgery, Ochsner Clinic Foundation, New Orleans, La


Correspondence: CBabycos@ochsner.org
Keywords: lip, augmentation, advancement flap, dermal allograft, hyaluronic acid

CASE DESCRIPTION

A 68-year-old professional trumpet player initially presented to us 4 months after undergoing Moh's resection for squamous cell carcinoma of the lower lip, reconstructed with a mucosal advancement flap. The final pathology margins were negative, and both the patient and the surgeon were satisfied with the aesthetic result. His speech and masticatory function were unaffected, but he was unable to play his trumpet, as the soft-tissue depression at the site of reconstruction prevented him from obtaining an adequate seal to his trumpet mouthpiece (Fig 1). Two prior attempts of soft-tissue restoration with hyaluronic acid (HA) fillers were unsuccessful. While the lip defect remained soft and mobile, the HA filler would extrude laterally outside the defect upon direct injection.




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