Plastic surgery; its principles and practice . Fig. 592.—Operation for the reconstruction of the lower lip with lateral flaps, con-tinued.—I and 2. Several weeks later flaps are made as indicated by the dark lines, andshifted toward the midline, where they are sutured, AC to BC. Berger performs Dieffenbachs operation in two stages. This ismuch safer, although it takes longer to secure a result. He makes ahorizontal incision from each corner of the mouth extending the desireddistance. This penetrates all the tissues down to the mucosa, whichis divided i. cm. (2g inch) above the skin incision. T


Plastic surgery; its principles and practice . Fig. 592.—Operation for the reconstruction of the lower lip with lateral flaps, con-tinued.—I and 2. Several weeks later flaps are made as indicated by the dark lines, andshifted toward the midline, where they are sutured, AC to BC. Berger performs Dieffenbachs operation in two stages. This ismuch safer, although it takes longer to secure a result. He makes ahorizontal incision from each corner of the mouth extending the desireddistance. This penetrates all the tissues down to the mucosa, whichis divided i. cm. (2g inch) above the skin incision. The flap of mucosais turned out and sutured to the skin on the lower side, and will even- SURGERY OF THE LIPS 527 tually form the vermilion border of the new lip. The skin and mucosaare sutured together in all places where this is possible. This proceduremakes an opening twice the length of the normal mouth. After severalweeks the scar tissue is removed from the edges of the lip defect andalong the upper border of the cheek incision. Later


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