title: Vermilionectomy using the W-plasty technique.
abstract: We describe a variation of the conventional vermilionectomy consisting of incisions using the W-plasty technique, which allows a more distensible scar with better cosmetic and functional results. Its primary indications are actinic cheilitis and leukoplakia of the lower lip. It is a more complicated technique than the classic one, and requires a larger loss of skin, but the benefits largely outweigh the drawbacks.
authors.affiliation: Department of Medical-Surgical Dermatology, University Hospital, Cadiz, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Fernandez Vozmediano
authors.forename: M A
authors.initials: MA
authors.lastname: Romero Cabrera
authors.forename: A
authors.initials: A
authors.lastname: Carrascosa Cerquero
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002613:Cheilitis / Q000601:surgery; D006801:Humans; D008047:Lip Diseases / Q000601:surgery*; D008048:Lip Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013518:Surgery, Plastic / Q000379:methods*