Reconstruction of Lip Eversion due to Scar Contracture with Nasolabial Island Flap

Background: Traumatic scar contracture on the lip–chin junction may induce lip eversion, drooling and psychosocial withdrawal. Adequate scar release and flap reconstruction were effective treatment. Aim and objectives: We reported on a successful reconstruction of lip eversion caused by scar contracture by using a nasal labial flap. Materials and Methods: A 79-year-old man developed lip eversion due to scar contracture after a trauma. The consequent severe drooling and facial disfigurement induced secondary psychosocial trauma. Initially, we simply released the scar tissue and resurfaced the wound with a full-thickness skin graft (FTSG), but it ended up re-contracture and lip eversion again. Then, we excised scar completely and resurfaced the wound by transplantation of a nasolabial island flap. Results: The flap survived well. There was no more scar contracture and no more lip eversion within a 6-month follow-up. The patient was mentally stable for good appearance without drooling. Conclusion: Nasolabial island flap is a reliable and easily available arterial flap for reconstruction of facial wound, especially in this case as it successfully corrects lip eversion after a complete scar contracture release.