The secondary wound of the lip is sutured as in ordinary harelip, as shown in [Fig. 459].
The mucosa soon takes on the appearance of skin, but in most cases remains pink in color.
The flap taken in this way should not be made too wide.
Fig. 458. Fig. 459.
Blandin Method.
Dupuytren Method.—The flap is taken vertically from the skin of the upper lip, reaching down at its free end to the vermilion border, as shown in [Fig. 460].
The flap is twisted upon its pedicle and sutured to the skin of the lobule; to facilitate this the left incision is made higher than that on the right.
The pedicle may be cut as with all such flaps, and it may be allowed to remain, if not too disfiguring.
The secondary wound of the upper lip is drawn together by suture, as shown in [Fig. 461].