Fig. 166. Fig. 167.
Gräfe Method.
Mirault-Bruns Method.—An excellent method of this class is that of Mirault-Bruns. Their operation is indicated in defects of extensive degree, and usually gives excellent results. As in the former method a semicircular incision is made to include the superior angle, and two other incisions are made somewhat as shown in [Fig. 168]. The wound made thereby is shown in [Fig. 169]. The inferior triangular flap of one side is utilized to restore the prolabium, the whole being sutured, as shown in [Fig. 170], care being taken to make this flap of sufficient size to give stability and volume to the lower margin of the lip.
Fig. 168. Fig. 169. Fig. 170.
Mirault Method.
Giralde Method.—This method is intended for defects of the third degree. A vertical incision frees the vermilion border on one side, while an angular cut on the opposite side (see [Fig. 171]) allows of the bringing together the lip flaps above it. The wound is made to appear somewhat as in [Fig. 172], and is sutured, as depicted in [Fig. 173].
Fig. 171. Fig. 172. Fig. 173.