The dog attacked the young female and bit her upper lip. The bite caused a 1.5 x 1.5 cm tissue avulsion to the upper lip.
She was treated with a free graft transfer at the site of the missing tissue. The wound was cleaned and sutured closed. A couple of weeks later, she had her sutures removed with some debridement. In order to minimize granulation tissue and scarring, the young girl received a steroid injection. A couple of months following the injection, the specialist noted an exophytic tissue at the most media aspect of the wound and a minimal whistler deformity. She was recommended surgery to correct the scar deformity of the upper lip. The specialist rearranged the transferred soft tissue of the upper lip and performed a scar revision. Following the procedure, the young girl continued to have an upper lip deformity and was advised that she would have to undergo two additional procedures. The procedures included a tissue expander assisted scar revision with local advancement flap reconstruction and V-Y advancement of the oral labial mucosa. Following the multiple procedures and the surgeries pending, client received a $305,000 settlement.