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Lower Lip and Chin Reconstruction

Lower Lip and Chin Reconstruction

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  #1  
● 08-26-2024, 05:52 PM
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Lower Lip and Chin Reconstruction

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 ).
Lower Lip and Chin Reconstruction - FB IMG 1724709056022
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Lower Lip and Chin Reconstruction - FB IMG 1724709058655
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Lower Lip and Chin Reconstruction - FB IMG 1724709061329
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Lower Lip and Chin Reconstruction - FB IMG 1724709063817
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Lower Lip and Chin Reconstruction - FB IMG 1724709066278
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Lower Lip and Chin Reconstruction - FB IMG 1724709069849
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  #2  
● 08-26-2024, 07:55 PM
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Re: Lower Lip and Chin Reconstruction

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  
● 08-27-2024, 12:51 AM
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Re: Lower Lip and Chin Reconstruction

I think this “doctor” should stick to tranny bottom surgeries.
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  #4  
● 08-27-2024, 01:55 PM
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Re: Lower Lip and Chin Reconstruction

The guy looks like a Russian mobster.
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  #5  
● 08-28-2024, 02:25 AM
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Re: Lower Lip and Chin Reconstruction

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
  #6  
● 08-28-2024, 06:35 PM
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Re: Lower Lip and Chin Reconstruction

Perpetual lip-fulla-dip look...
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  #7  
● 08-31-2024, 04:45 PM
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Re: Lower Lip and Chin Reconstruction

that does not look very good
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