Lip Reduction

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Protuberant lips can be reduced by an intraoral mucosal resection (Fig. 6.34a, b) to decrease the size of the visible vermilion and thus narrow the lips. Since the scars are intraoral, they cannot be seen (Fig. 6.34c).

Small Pieces Scar Tissue Lip

Fig. 6.32a, b The vermilion is stretched out to its normal Fig. 6.33a, b Small defect of the lower lip with scar contrac-length by excising the scars and performing multiple Z-plasties. tures repaired by a V-Y closure. Excess tissue should be provided in the vermilion area to prevent formation of a new defect after the scars have contracted.

Fig. 6.32a, b The vermilion is stretched out to its normal Fig. 6.33a, b Small defect of the lower lip with scar contrac-length by excising the scars and performing multiple Z-plasties. tures repaired by a V-Y closure. Excess tissue should be provided in the vermilion area to prevent formation of a new defect after the scars have contracted.

Lip Closure

Fig. 6.35a, b V-Y closure of a small lip defect using a sliding flap.

Fig. 6.34 Lip reduction.

a Mucosa and some muscle tissue are excised intraorally from the protuberant lips. b All defects are closed, thinning the lips. c Cross-sectional view.

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