I've just been diagnosed with early stage squamous cell carcinoma of my right lower lip as of May 3, 2010. They are recommending Moh's surgery. The Moh's surgeon will need to take about 1/2 of my lip, maybe more depending on what they see under the microscope. He described a vertical incision to remove just the tumorous area on the right side verses a whole lip shave (or vermillionectomy) because my entire lower lip is pre-cancerous. The left side had been having trouble with sores that wouldn't heal two years ago and was biopsed three different times, but it did not show any cancer at that time. After the removal of the whole lip they would then do a lip flap advancement, whereby they dissect the tissue on the inside of the lower lip and pull it forward or advance it, then stitch it to the border of my lower lip. This will result in a scar that runs horizontal along the lip edge. He also said if they did just the right side, he may need to do a vermillionectomy anyway. The Moh's surgeon is very experienced with cancer on the lip; they do about 300 cases a year! I live in S. Florida. I will meet with the plastic surgeon to discuss the operation more and to see what type of reconstruction will be best. If any one has any experience or thoughts that would be greatly appreciated.