Reconstruction of the upper vermilion employing combined flaps

Reconstruction in the vermilion area presents a variety of difficulties, mostly because of donor site limitations. We have obtained good results, including color and texture, using a cross-lip vermilion flap for repair of large defects of the upper vermilion and an advancement vermilion myocutaneous flap for closure of its donor site. Although the operation requires two stages, this method seems very useful for reconstruction of the upper vermilion area.