Reconstruction of the lower lip and chin using local and random-pattern flaps

Unlike the reconstruction of wounds found on more predictable and less variable anatomic subunits of the face, reconstruction of defects on the chin and lower lip often present special difficulties for the surgeon in accurately assessing and selecting the lines of incision that will provide the patient with the best cosmetic result. The author discusses the many factors which must be considered as part of that selection process and describes the uses of the most common local flaps for reconstructing wounds found in this anatomic location.