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we refer for vermilionectomy where extensive disease warrants it Selected early-stage lip BCC and SCC where wide local excision with primary closure or W/Z-plasty will give a good outcome Biopsy of any lip lesion of clinical concern What we refer onward We refer to NHS skin cancer services or specialist private centres for: Advanced, recurrent or ill-defined lip cancer warranting Mohs surgery Lip melanoma (cutaneous or mucosal) Lip cancer with lymph node involvement or suspected metastasis Disease requiring radiotherapy or chemotherapy Extensive vermilionectomy and complex lip reconstruction This is part of our honest scope