PMC8422940_01
Preoperative photograph in which a great enlargement of the lower lip can be seen.
IPRS-10-09-g-001.jpg
PMC8422940_01_IPRS-10-09-g-001.jpg
F1
Physical examination showed local swelling limited to the lower lip, which was firmly elastic and painless (Figure 1 (Fig. 1)).
Intraoperative photograph showing the designed incisional pattern
IPRS-10-09-g-002.jpg
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F2
We undertook reducing cheiloplasty through partial bermellectomy of the lower lip, using a nearly semilunar incision (Figure 2 (Fig. 2)).
Immediate postoperative result
IPRS-10-09-g-003.jpg
PMC8422940_01_IPRS-10-09-g-003.jpg
F3
Layered suture was then performed (Figure 3 (Fig. 3)). 
In this histological image, a mucous layer with chronic lymphoplasmacitic infiltrate can be seen, with presence of noncaseating granulomas. Hematoxylin and eosin (H&E). 2x.
IPRS-10-09-g-004.jpg
PMC8422940_01_IPRS-10-09-g-004.jpg
F4
In this histological image, a mucous layer with chronic lymphoplasmacitic infiltrate can be seen, with presence of noncaseating granulomas. Hematoxylin and eosin (H&E). 20x.
IPRS-10-09-g-005.jpg
PMC8422940_01_IPRS-10-09-g-005.jpg
F5
Final result after 1-year follow-up. Normal lower lip size has been achieved, in an adequate proportion to the upper one.
IPRS-10-09-g-006.jpg
PMC8422940_01_IPRS-10-09-g-006.jpg
F6
During the follow-up period of 1 year no symptom of local recurrence was found (Figure 6 (Fig. 6)).