Huilgol, S.Ma, J.Hills, R.2015-12-132015-12-132014Journal of American Academy of Dermatology, 2014; 71(6):1198-12030190-96221097-6787http://hdl.handle.net/2440/97300BACKGROUND: Removal of skin cancer at or near the vermilion border may result in a partial-thickness combined cutaneous and mucosal lip defect for which repair has potential for poor cosmetic and functional outcomes. OBJECTIVE: We sought to describe the closure and results from repair of combined lip defects using 2 island pedicle or V-Y flaps, 1 for the cutaneous lip and 1 for the mucosa. METHODS: A retrospective review of all patients with combined defects of the lip who underwent double island pedicle or V-Y flap repair from June 2008 to December 2013 was performed. RESULTS: Ten patients (6 female, 4 male; ages 35-89 years, mean age 60 years) had defects on the upper lip in 8 cases and on the lower lip in 2 cases. Follow-up was for 3 months or longer with good or excellent outcomes in all cases. LIMITATIONS: This was a nonrandomized, unblinded clinical case series with a limited sample size. CONCLUSION: Double island pedicle or V-Y flap repair is an elegant closure with good to excellent results and may avoid potential problems inherent in other repair options.en© 2014 by the American Academy of Dermatology, Inc.island pedicle flaplipMohs micrographic surgeryskin cancervermilionV-Y flapJournal article003002657610.1016/j.jaad.2014.07.0270003452324000312-s2.0-84925222731108921Huilgol, S. [0000-0001-6668-1230]