The vermilion-sharing graft for repairing a vermilionectomy defect.

Lower lip vermilionectomy defects can be repaired with a full-thickness graft of vermilion from the upper lip. The graft width should be approximately one-half that of the lower lip defect, sharing the vermilion between the two lips. The graft should be oriented so that the red, anterior part of the vermilion is placed anteriorly, where it will be most visible. If graft "take" is successful, the result can be aesthetically and functionally excellent, while the donor-site morbidity is minimal.