Fig. 1. A. The lip wound was thoroughly debrided before reconstruction. B. Design of the mucosal V-Y advancement flap in the inner mucosal area. C. Completion of the mucosal V-Y advancement flap dissection based on the orbicularis oris muscle. An additional horizontal incision was made in the orbicularis oris muscle to facilitate flap mobilization. D. The shield-shaped flap was moved superiorly to approximate the superior flap margin to the vermilion border. E. The V-Y suture was placed between the inner mucosa and flap. F. After reconstruction of the upper lip defect, good color matching and volume were observed.
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