Bilateral V-Y advancement flaps with pincer modification for re-creation of large philtrum lip defect

Abstract

Large defects of the philtrum involving the mucosal and cutaneous epithelium (Fig 1) are difficult to repair and may lead to long-lasting cosmetic deformity. M-plasties, V-Y and horizontal advancement flaps (AFs), seagull flaps, and skin grafts are all repair options. M-plasties and seagull flaps are used for short, mostly cutaneous defects. AFs may blunt natural philtrum columns, whereas grafts are often obvious.1-4