An alternative method for vermilion reconstruction after resection of hemangiomas of the lip

Purpose: We describe a method for symmetrical vermilion reconstruction after resection of hemangiomas of the lip. Patients and Methods: Four patients underwent vermilion reconstruction after resection of large cavernous hemangiomas of the lip. This reconstruction technique employed 3 basic components: 1) labial mucosal advancement flap, 2) orbicularis oris muscle flap, if necessary, and 3) free mucosal graft. Results: All patients successfully underwent the planned procedures without significant complications. Symmetrical profiles of vermilion of the lip were achieved in all cases, even when an extended excision had been performed. Conclusions: We have found that the combination of labial mucosal advancement flaps, with or without muscular flaps, and free mucosal grafts provides excellent esthetic outcomes with a low complication rate. This method should be incorporated into the surgical techniques for symmetrical reconstruction after resection of hemangiomas of the lip.