Post sclerotherapy lower lip reconstruction with dermofat graft and labial advancement flap

Sclerotherapy has been commonly used for the treatment of arteriovenous (AV) malformation as a stand-alone technique or with surgical excision of the nidus. However, it can cause surrounding tissue necrosis and scarring. The lip is one of the most uncommon sites for AV malformation. Lip esthesis is of paramount importance. Hence, its reconstruction becomes a difficult task due to its specialized nature. In our technique, we have combined a labial mucosal advancement flap to reconstruct a scarred lip with dermofat grafting to provide an acceptable contour. Therefore, we have combined the principles of reconstruction of the lip with the aesthetic domain in a single stage to replicate a pinkish-red, smooth, and pliable lip with a pout.