Lip reconstruction using superficial flaps: functional and aesthetic integration

Mohs micrographic surgery is the preferred technique for the treatment of skin cancers involving the lip region. Reconstruction of surgical defects in this area is particularly complex, requiring preservation of anatomical structures, respect for cosmetic subunits, and maintenance of function whenever possible. This study describes 4 cases of lip surgical defects managed with different reconstructive techniques: mucosal rotation flaps, double V-Y advancement flaps, and O-Z rotation flaps. The choice of technique was individualized according to the location and size of the defect, aiming to achieve symmetry, preserve oral sphincter function, and obtain satisfactory aesthetic outcomes.

Keywords: Surgical Flaps; Mohs Surgery; Lip