Plastic surgery; its principles and practice . Fig. 578. Fig. 579. Fig. 578.—Operation for the reconstruction of the lower lip with double vertical flaps,pedicles below (Zeiss).—The dark lines indicate the outlines of the flaps which are shiftedupward. The V-shaped area X below the flaps is used as a buttress. The newly formedlip is without an epithelial lining. Fig. 579.—Operation for the reconstruction of the lower lip with lateral flaps, pediclesexternal iSerre).—The lower lip has been removed leaving a quadrangular defect. An in-cision on each side is made prolonging the commissures. Anoth


Plastic surgery; its principles and practice . Fig. 578. Fig. 579. Fig. 578.—Operation for the reconstruction of the lower lip with double vertical flaps,pedicles below (Zeiss).—The dark lines indicate the outlines of the flaps which are shiftedupward. The V-shaped area X below the flaps is used as a buttress. The newly formedlip is without an epithelial lining. Fig. 579.—Operation for the reconstruction of the lower lip with lateral flaps, pediclesexternal iSerre).—The lower lip has been removed leaving a quadrangular defect. An in-cision on each side is made prolonging the commissures. Another incision is made parallelto the above, and on the level with the lower border of the defect. The flaps thus madethrough the full thickness of the cheeks are shifted inward and sutured in the midline ABto AB. operations of Lisfranc ^1829). Malgaigne C1834), or Sedillot (1856),horizontal or slightly curved incisions are made from the angles out-ward as far as the masseter, and the flaps thus formed are drawn inwardand sutured in the


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky