Both upper and lower lip splits, usually with osteotomy of the underly
ing jaw, improve access to the deep structures of the head and neck. A
simple modification to the midline lip split is to incorporate a chev
ron in both the peri-oral skin and vermilion margin. The advantages ar
e: accurate wound closure, no straight line contracture and a broken l
ine of the peri-oral scar. This improves the aesthetic result of the h
ealed lip.