Myocutaneous Island Flap – Upper Lip Reconstruction

Mohs excision of upper lip philtrum squamous cell carcinoma left a subtotal lip defect. Bilateral nasolabial fold myocutaneous island advancement flaps were used to successfully rebuild the functional and aesthetic upper lip.  The flaps utilized the outer circumference of orbicularis oris to rebuild the muscular continuity of this large defect. Complete oral competence was restored preserving sensation as well.

      Mohs excision upper lip philtrum squamous cell carcinoma

      Bilateral nasolabial fold myocutaneous island advancement flaps

      1 month post op upper lip reconstruction

      4 month post op upper lip reconstruction

      7 month post op upper lip reconstruction