Abstract
Two young female patients underwent lower lip reconstruction after the loss of tissue secondary to the involution of infantile hemangiomas. A proximally based dorsal tongue flap was raised from the tip of the tongue, including a layer of intrinsic muscle. The second stage of the flap division was performed after 3 weeks. Lip contour was improved in both patients, and oral competence was obtained. The papillary appearance of the tongue mucosa smoothened in approximately 2 weeks. Tongue mobility was not compromised. When the defect involves only the vermilion, reconstruction options must be considered on an individual basis. The dorsal portion of the tongue is thicker than the ventral surface and provides better fullness for the lower lip, with a good color match. The 2-staged tongue tip flap (TTF) surgery is an effective alternative to reconstruct vermilion defects after sequelae from infantile hemangioma.
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