Plastic and cosmetic surgery

by Frederick Strange Kolle

Fig. 260. Fig. 261.

Correction of Angle of Mouth.

Another method is to cut the two flaps as in [Fig. 262].

These flaps are made of the entire thickness of the cheek tissue, and are slid down into position and sutured or approximated, as in [Fig. 263].

Fig. 262. Fig. 263.

Correction of Extensive Defect at Angle of Mouth.

As a rule the excised mucous membrane subsequently prevents a free opening of the mouth added to by the contraction of the flaps themselves.

To overcome this a flap of skin with its epidermal surface turned inward is sutured into the defect, as will be shown presently, or a pedunculated flap formed at the wound surface before its transplantation into the defect may be covered with skin grafts (Thiersch).