Nasolabial Flap: A Viable Option for Total or Subtotal Lip Reconstruction

Background: Several surgical techniques have been suggested for lip reconstruction. Despite certain limitations, the nasolabial flap remains a straightforward and feasible option associated with lower morbidity. Objective: This study aimed to share our experience using the nasolabial flap in the reconstruction of lip defects. Materials and Methods: This retrospective study was conducted over 6 months following approval from the institution’s research and ethics committee. Histologically confirmed cases of primary lip neoplasms that were reconstructed using a nasolabial flap over 11 years (January 2014–January 2025) were reviewed. Collected data included patient demographics, the affected portion of the lip, definitive diagnosis, characteristics of the lip defect, type of nasolabial flap utilized, and treatment outcomes. Data analysis was performed using IBM Statistical Package for the Social Sciences version 25. Results: This study included 22 patients, comprising 15 males (68.2%) and 7 females (31.8%). The patients’ ages ranged from 43 to 71 years, with a mean ± standard deviation of 56.32 ± 7.6 years. The majority, 18 (81.8%) patients, were over the age of 50 years. Lower lip defects were observed in most cases, affecting 19 (86.4%) patients. Bilateral nasolabial flaps were the most commonly used technique, performed in 12 (54.5%) cases. Neck dissection was recorded in only two patients, and the surgical outcomes were satisfactory in all cases. Conclusion: Although the nasolabial flap offers limited tissue availability, it has proven to be an effective choice for subtotal or total lip reconstruction. Careful case assessment and informed decision-making are key to achieving optimal results.