Free tissue transfer is a critical tool for lip reconstruction. This section will
discuss different aspects of free flap reconstruction. This type of reconstruction
is primarily used for large skin and soft tissue defects typically involving greater
than 80% of the lip. Both fasciocutaneous as well as muscular free flaps can be utilized
for lip reconstruction. Free flaps can be utilized in nondynamic as well as dynamic
types of reconstruction. When free flaps are utilized they often require significant
revision and tailoring in the months following the initial reconstruction. Free flaps
are excellent at providing the necessary skin and soft tissue reconstruction for large
lip defects. These flaps can often restore much of the function of the lip. However,
they all lack in their ability to naturally restore lip aesthetics.
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References
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Published online: January 05, 2020
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