Related Experiment Video
Updated: May 22, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Central upper lip reconstruction by two vermillion flaps and a rotational skin flap
Luca Vaienti1, Dino Zilio, Adriano Di Matteo
1Dipartimento di Chirurgia Plastica Ricostruttiva, I.R.C.C.S. Policlinico San Donato, Università degli Studi di Milano, Milano, Italy. luca.vaienti@unimi.it
Background:
Lip cancer is the most frequent malignant neoplasm of the oral cavity. Defects larger than one-fourth of total upper lip length require reconstruction by established techniques or multiple procedures.
Methods:
The patient was a 53-year-old man who presented with a 1.5 cm basal cell carcinoma in the central upper lip. Two opposed vermillion flaps were designed and advanced following radical tumor excision to create a new skin-vermilion border. A rotational skin flap was prepared to maintain the normal aspect of the filter area.
Results:
The patient was evaluated 1 year after the operation. He showed well-healed flaps with excellent aesthetic and functional results of the filter area and Cupid's bow.
Conclusion:
Within certain limits (maximum one-third of total upper lip length), double vermillion opposing flaps with a rotational skin flap appear to be a valid method for upper lip reconstruction.