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52111 - Vermilionectomy

MBS service description:

VERMILIONECTOMY (Anaes.) (Assist.)
Schedule Fee:
371.45
@85% Benefit Fee:
315.75
@75% Benefit Fee:
315.75
Last updated on
March 29, 2025

When is item code 52111 (Vermilionectomy) typically used?

The need for vermilionectomy arises when a patient has extensive disease or damage to the vermilion (red) portion of the lip—such as widespread precancerous lesions, chronic ulcers, or severe trauma—requiring complete removal of this tissue under anesthesia with assistance, followed by repair. This procedure is indicated for conditions affecting the entire lip border, often linked to sun exposure or smoking, where partial excision isn’t sufficient, critical for preventing cancer or restoring lip health in the maxillofacial region.

Specific indications include:

  • Actinic cheilitis: Diffuse precancerous changes from sun damage might need full removal to stop malignancy.
  • Chronic ulcers: Persistent sores across the vermilion could indicate cancer, requiring excision for diagnosis.
  • Trauma: Severe lip border damage from burns or injury might need this for reconstruction.
  • Cosmetic restoration: Widespread scarring or irregularity prompts removal for appearance.

For example, a patient with actinic cheilitis from years of sun exposure might need this to prevent lip cancer, with assistance aiding repair. In aged care, an elderly smoker with diffuse lip lesions could benefit from this to rule out malignancy, given their risk. By removing the vermilion and reconstructing, this service prevents progression, restores function, and enhances aesthetics, making it vital for extensive lip border pathology in the maxillofacial area.

Benefits to the patient

Surgeons performing a vermilionectomy on the patient under anesthesia with assistance provide preventative and corrective benefits. A key advantage is preventing cancer. Removing the patient’s diseased lip border halts progression to malignancy—vital for 'vermilionectomy benefits.' It also removes diseased tissue, ensuring the patient’s lip health is restored. Additionally, it restores lip appearance by reconstructing the vermilion, enhancing the patient’s facial aesthetics. For surgeons exploring 'lip cancer prevention advantages,' this assisted procedure ensures patients benefit from cancer prevention, tissue correction, and aesthetic improvement, offering a strategic approach to lip border conditions.

Recovery considerations

Recovery of 2-4 weeks with swelling and suture care; temporary lip sensitivity.

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