Modification of the Abbe flap for reconstruction of the vermilion tubercle and Cupid's bow in cleft lip patients

Purpose: This article reports on the modification of the Abbe flap for correction of mild tightness of the corrected cleft lip deformity. Patients and Methods: Twelve patients with a moderately tight lip deformity, from 16 to 35 years old, underwent this procedure. Nine had a unilateral deformity and 3 a bilateral deformity. The flap, which was taken from the central portion of the lower lip vermilion, was designed to repair the vermilion tubercle and the Cupid's bow. A tiny portion of skin was included to facilitate closure of the donor site. It was inserted into the center of the upper lip and the pedicle was divided 1 week after operation. Results: Each patient showed a more natural contour of the vermilion tubercle and the Cupid's bow. The scarring of the donor site was inconspicuous. Conclusions: Use of modified Abbe flap to reconstruct the contour of the vermilion tubercle and the Cupid's bow makes the upper lip look more natural.