Lower Lip Reconstruction after Wide Excision of a Malignancy with Barrel-Shaped Excision or the Webster Modification of the Bernard Operation
A 74-year-old woman had a history of previous excision a year before at a local clinic of a papule that had appeared 3 years earlier on the lower lip. The patient visited the outpatient clinic of our hospital with a recurred lesion. Almost no vermilion tissue (less than 1/4) on both sides was expected to remain after excision. The bilateral Webster modification of the Bernard operation was chosen. During the 12-year postoperative follow-up period, the patient showed good functional and cosmetic treatment outcomes. In addition, the patient had no recurrent episodes ().