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Reconstruction by local flap of a hypertrophic scar on the upper lip of a woman.

A healthy, 39-year-old woman once had a 1.6 0.8 cm significant shuttle-shaped hypertrophic scar at the right aspect of the lateral upper lip (Figure 1). The scar was caused by an accidental injury wound, which had been treated and sutured immediately after injury in the local hospital. The wound began to contract owing to scar proliferation after the treatment, which resulted in the elevation of the lateral upper red margin. After 6 months, the patient requested conventional surgical excision of the scar and wished to recover the normal position of the right upper lip. How would you reconstruct this surgical defect?