fig4

Figure 4. V-Y. (A) A V-shaped incision is made along a distorted vermillion border to allow for release to normal contour. Arrows indicate anticipated vectors of tissue movement. (B) Final closure of V-to-Y advancement flap, correcting the vermillion border shape. (C) Magnified view of the planned incision and closure. The “A” marks the planned advancement, while the “B” and “C” mark the planned closure. This closure “pushes” the distorted vermillion inferiorly. This figure is used from senior authors’ previous work, Shew et al.^[1]. Rights retained.