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Suitable for small lesions where direct closure will not distort the lip vermilion Procedure time 3045 minutes under local anaesthetic Closure fine absorbable sutures, often with a separate cuticular layer of non-absorbable sutures removed at 57 days Cosmetic outcome typically excellent, with a fine pale linear scar that matures over 612 months W-plasty and Z-plasty reconstruction Used for slightly larger excisions where straight-line primary closure would distort the lip or produce a long visible scar

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