Hmmm… they say smoking and alcohol contributed to this man having his upper and lower lips eaten away.

A 56 year-old white male with a history of heavy alcohol and tobacco use presented with a 14-month history of an enlarging lesion involving the upper and lower lips.

Examination revealed an ulcerating exophytic lesion involving the entire lower

The picture below - A free fibula osteocutaneous flap with 14 cm of bone and a 20 x 8 cm skin paddle was used to reconstruct the mandible, intra-oral lining and lower lip externally. Microvascular anastomosis was performed to the facial vessels. A palmaris longus tendon sling was used to suspend the lower lip reconstruction. A pedicled tongue flap was used to provide vermilion and mucosal lining for the right upper lip reconstruction.

lip, right two-thirds of the upper lip, floor of mouth, right lower alveolus, buccal mucosa, and skin of the chin and right cheek. The tongue was mobile and unrestricted. There was numbness in the mental area, and palpable bilateral cervical lymphadenopathy (whatever that may mean).

The right upper lip was reconstructed with a pedicled scalp flap to provide hairy skin externally, with the pedicled tongue flap (Figure 3a) providing vermilion and mucosal lining. Finally a residual skin defect over the chin was reconstructed with a pectoralis major myocutaneous flap.

Anyway the really sick video of this poor mans pre-operative condition is below these pics.

Click Here to Check Out The first Video of the original lip eaten away by lesions or tumors

after 6 weeks here is the result as the first part of his lip reconstruction

Click Here to see the video of the reconstructive lip surgery