Vermilionectomy using the W-plasty technique.
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.
Fernandez Vozmediano
J M
JM
Department of Medical-Surgical Dermatology, University Hospital, Cadiz, Spain.
Romero Cabrera
M A
MA
Carrascosa Cerquero
A
A
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*