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Lower Lip and Chin Reconstruction

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Lower Lip and Chin Reconstruction 

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  #1  
Old 08-26-2024, 06:52 PM
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Case Report:
A 50-year-old man presented to the emergency room with a wide lower lip injury caused by a human bite that occurred 2 hours earlier, with avulsion of approximately 80% of the lip and 30% of the chin. The patient carried the avulsed tissue in an ice bag.

They planned a reconstruction with myocutaneous gracilis flap. The gracilis flap was harvested with an oval-shaped skin paddle of 7 × 5 cm centralized at the longitudinally oriented vessel pedicle (proximal one-third) compared with the muscle fibers ( Figs. 3.4 ).

The patient was discharged 8 days after surgery.

Results and Follow - Up:
At 1-month follow-up, the patient was able to open the mouth, laugh, and contain solid foods.

After 6 months, the patient showed improvements in daily activities such as fluid containment, complete mouth closure, speaking, etc.

At 1-year follow-up, good thickness and quality of the skin paddle was observed, and hair transplantation could be now planned ( Fig. 6 ).
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  #2  
Old 08-26-2024, 08:55 PM
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From a distance it looks like he's got his tongue hanging out. I bet he gets some funny looks walking down the street
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  #3  
Old 08-27-2024, 01:51 AM
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I think this “doctor” should stick to tranny bottom surgeries.
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Old 08-27-2024, 02:55 PM
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The guy looks like a Russian mobster.
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  #5  
Old 08-28-2024, 03:25 AM
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Why couldn’t they just see the bitten off piece back on without the need for an ugly skin tissue graft from another part of the body? Seems totally unnecessary and produced a poor outcome
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  #6  
Old 08-28-2024, 07:35 PM
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Perpetual lip-fulla-dip look...
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  #7  
Old 08-31-2024, 05:45 PM
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that does not look very good
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