All operations on the lips should restore both the esthetic appearance of the lips and their function, i.e., their ability to maintain oral continence during eating and drinking. Our suture material of choice for approximating muscle stumps about the lips is 4-0 or 5-0 absorbable, and we prefer 6-0 or 7-0 monofilament for the mucosa.
Fig. 6.1 Wedge-shaped defect in the vermilion of the lower lip. a The defect is excised.
b Inferiorly and superiorly based mucosal triangles are cut in preparation for a Z-plasty. c The triangles are transposed, and the muscular wound is closed.
d The small skin defects are closed.
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