Lower Lip Reconstruction after Wide Excision of a Malignancy with Barrel-Shaped Excision or the Webster Modification of the Bernard Operation
A 47-year-old man visited our hospital presenting with a 4-month history of a persistent lip wound, and the patient was diagnosed with squamous cell carcinoma. The patient was expected to have less than 1/4 of the right side vermilion tissue remaining after excision. However, the patient wanted the most minimally invasive method possible. Therefore, in an exception to our regular procedure, we performed a single barrel-shaped excision. During the 4-year postoperative follow-up period, the patient was satisfied with the outcome and had no notable complications other than scars on the surgical sites ().