Introducing A Stepwise Anatomic Framework for Urogenital Reconstruction Derived From Orofacial Plastic Surgery Principles: A Case Report.

We present a novel labial reconstruction technique in a 48-year-old woman with extensive bilateral labial defects caused by steatocystoma multiplex. An anatomy-guided, stepwise approach integrating scalp and orofacial reconstructive principles enabled successful restoration using a rhomboid mucocutaneous flap, minimizing tissue tension while preserving neurovascular continuity, function, and aesthetics.