Reconstruction of a small defect of the lower vermilion adjacent to white roll using a modified O-Z flap

• Published in: Archives of craniofacial surgery Vol. 22; no. 3; pp. 164 - 167
• Main Authors: Kim, Hong Il, Kim, Ho Sung, Park, Jin Hyung, Yi, Hyung Suk, Kim, Yoon Soo, Kim, Hyo Young
• Format: Journal Article
• Language: English
• Published: Korean Cleft Palate-Craniofacial Association 01.06.2021; 대한두개안면성형외과학회
• Subjects: Case Report; 성형외과학
• ISSN: 2287-1152; 2287-5603
• DOI: 10.7181/acfs.2021.00150

Reconstruction of lip defects is important because the lips play an important role in maintaining aesthetic facial balance, facial expressions, and speech. There are various methods of lip reconstruction such as primary repair, skin grafting, and utilization of local and free flaps. It is important to select a proper reconstruction method according to the size and location of lip defect. Failure to select an appropriate method may result in distortion, color mismatch, sensory loss, and aesthetic imbalance. Herein we present a case of successful aesthetic reconstruction of the lower vermilion. We removed a venous malformation, which was limited to the lower vermilion and adjacent to the white roll, and repaired the defect using the modified O-Z flap.Reconstruction of lip defects is important because the lips play an important role in maintaining aesthetic facial balance, facial expressions, and speech. There are various methods of lip reconstruction such as primary repair, skin grafting, and utilization of local and free flaps. It is important to select a proper reconstruction method according to the size and location of lip defect. Failure to select an appropriate method may result in distortion, color mismatch, sensory loss, and aesthetic imbalance. Herein we present a case of successful aesthetic reconstruction of the lower vermilion. We removed a venous malformation, which was limited to the lower vermilion and adjacent to the white roll, and repaired the defect using the modified O-Z flap.