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Figure 1: Preoperative view Figure 2: Markings intraoperative
Figure 3: Muscle repair 1 Figure 4: Muscle repair 2
Figure 5: Immediate intraoperative photo Figure 6: Postoperative 6 months
case, a perpendicular line was dropped from the medial importance in creating competence, shape and contour
margin of the pupil, and the point at which the color at the commissure. [9]
of vermilion changes from normal vermilion to cleft
vermilion was marked. Both the points coincided, and Vermilion square flap commissuroplasty is another
[8]
the entire surgical correction was centered on these technique, which has previously shown good results.
points. The stump of the superior orbicularis oris was The Z‑plasty technique has fallen out of favor as the scar
[3]
closed in a double‑breasted fashion to the inferior is more visible, particularly when smiling. Yoshimura
[10]
orbicularis stump under adequate tension with reference et al. performed a study in which he compared five
to the overlying commissure. This maneuver is of vital children with a Z‑plasty repair and seven with a simple
96 Plast Aesthet Res || Vol 2 || Issue 2 || Mar 13, 2015
