Note: Closure of muscle layer (orbicularis oris) not shown in diagram.
(A) Opposition of vermilion border.
(B) Closure of the inner dermal-fat junction.
(C) Closure of the outer dermal-fat junction.
(D) Closure of the epidermal layer, with joining of the dermal-fat junction at the free wound edge.
Reproduced with permission from: Attia MW, Loiselle J. Management of soft-tissue injuries of the mouth. In: Textbook of Pediatric Emergency Procedures, 2nd Edition, King C, Henretig FM (Eds), Lippincott Williams & Wilkins, Philadelphia, 2008. Copyright © 2008 Lippincott Williams & Wilkins.
www.lww.com.