A reverse facial artery perforator flap for partial thickness defect at the lateral upper lip: Technical note

Abstract

The reliability of the facial artery perforator's flap allowing freestyle design flaps for facial reconstruction is promising for one-stage upper lip repair This article describes the coverage of a large defect of the lip with a paramodiolus flap based on a reverse flow of the facial artery perforator. This technique was performed on a 65-year-old man who presented with basal cell carcinoma of the upper lateral lip. Its excision has created a cutaneous defect that was repaired with a paramodiolus flap based on the facial artery perforator. The donor site was situated in the beard skin adjacent to the upper lateral lip defects. Based on the anatomical knowledge, the perforator was not skeletonized, and carried in the subcutaneous layer of the flap. The coverage of the defect after transposing the flap with a rotational arc has led to perfect lip morphology with a natural hair pattern.

Keywords: Basosquamous carcinoma; Lips; Maxillofacial surgery; Perforator flap; Plastic surgery; Skin cancer.