Lower lip reconstruction with nasolabial flap - Going back to basics

Squamous cell carcinoma of the lower lip is frequent,and radical excision sometimes leads to complex defects. many lip repair techniques are aggressive requiring general anesthesia and a prolonged post-operative period. the nasolabial flap,while a common flap for the repair of other facial defects,is an under-recognized option for the reconstruction of the lower lip. we describe the use of nasolabial flap for the repair of a large defect of the lower lip in a ninety year-old male,with good functional results and acceptable cosmetic outcome. we believe the nasolabial flap is a good alternative for intermediate-to-large lower lip defects in patients with impaired general condition. © 2015 by anais brasileiros de dermatologia.