Plastic surgery; its principles and practice . Fig. 589.—Operation for the reconstruction of the lower lip with lateral flaps, pediclesbelow (Reid).—i and 2. The dark lines indicate the outlines of the flaps through the fullthickness of the cheeks. They are shifted inward and sutured in the midline, A to B. and pass from the commissures outward and slightly upward, and thendownward, parallel to the borders of the defect, as far as necessary onthe neck. The full thickness of the cheek is included. Heurtaux(1893) makes a similar curved incision, but uses only one flap. Inorder to prevent puckeri


Plastic surgery; its principles and practice . Fig. 589.—Operation for the reconstruction of the lower lip with lateral flaps, pediclesbelow (Reid).—i and 2. The dark lines indicate the outlines of the flaps through the fullthickness of the cheeks. They are shifted inward and sutured in the midline, A to B. and pass from the commissures outward and slightly upward, and thendownward, parallel to the borders of the defect, as far as necessary onthe neck. The full thickness of the cheek is included. Heurtaux(1893) makes a similar curved incision, but uses only one flap. Inorder to prevent puckering of the skin on the convex side of the curvehe excises a triangular-shaped piece of skin. The excision of the skin 526 PLASTIC SURGERY may be obviated by making the original incision curve backward sothat the entire cut has an S-shape. In Rieds operation the incisions are curved much the same as inJasches, but when the lower jaw is reached they are brought back paral-lel to it toward the


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky