# Repair of a Large Vermilion Defect of the Lower Lip Following Micrographic Surgery

## TL;DR

This paper describes a successful reconstruction of a large lip defect after cancer surgery, achieving good cosmetic and functional results.

## Contribution

A novel multilayered reconstruction technique using local tissue advancement for a complex lower lip defect is presented.

## Key findings

- A multilayered approach with local tissue advancement effectively repaired a large musculomucosal defect.
- The reconstruction achieved excellent cosmetic and functional outcomes without recurrence.
- The method avoided the need for secondary donor sites, minimizing additional surgical trauma.

## Abstract

Reconstruction of surgical defects of the face following Mohs micrographic surgery (MMS) requires careful consideration of both functional and cosmetic outcomes. In this report, we present a complex case of biopsy-proven invasive Bowenoid squamous cell carcinoma with extensive lower lip involvement, resulting in a large musculomucosal defect after MMS. The defect was closed using a multilayered approach with local tissue advancement to reduce tension and eliminate the need for secondary donor sites. Long-term follow-up demonstrated excellent cosmetic and functional outcomes without evidence of recurrence.