Aesthetic single‐stage vermilion reconstruction using facial artery musculomucosal flap and radial forearm free flap following cancer resection: A case report

Reconstruction of defects measuring approximately two‐thirds of the lower lip width is traditionally reconstructed utilizing loco‐regional flap utilizing lip and cheek tissues. This often results in microstomia and unsatisfactory aesthetic outcome. This may hinder the psychosocial aspect of a recovering cancer survivor. Here we describe a single‐stage reconstruction in a 79‐year‐old male patient who received lower lip resection for squamous cell carcinoma. The reconstruction was accomplished using a facial artery musculomucosal flap together with a free radial forearm flap for vermilion and soft tissue defect reconstruction after lip tumor resection with uneventful postoperative course. The patient remains disease‐free after 2‐year follow‐up and does not require revision surgeries for functional or aesthetic reason. This approach may be considered a good option for reconstruction of missing lip and soft tissue simultaneously when the facial vessels are well‐preserved during neck dissection. Aesthetically pleasing and functionally satisfactory outcomes may be produced.