Giralde Method.

König Method.—König advocates two vertical incisions which dispose of the cicatrized borders of the defect. A slanting incision is added at both sides to free the prolabium (see [Fig. 174]), giving a wound when drawn in position, as shown in [Fig. 175]. In suturing the wound the vermilion border flaps are turned downward as much as possible to restore the contour of the prolabium. The sutures are placed as shown in [Fig. 176].

Fig. 174. Fig. 175. Fig. 176.

König Method.

Maas Method.—Maas has deviated from the above method somewhat, as is shown in [Fig. 177], by making one of the prolabial flaps much larger than the other. His operation is applicable to defects of maximum extent. The lip wounds are thereby made to appear as in [Fig. 178], and the sutures are applied as in [Fig. 179], with an advantage of leaving a smaller sutured wound to heal by primary union.

Fig. 177. Fig. 178. Fig. 179.

Maas Method.