 The tissues were expanded then with a tissue Metzenbaum scissors and once the labial tissue was expanded, the tissues were approximated for primary closure without tension using interrupted and continuous sutures #3-0 Gore-Tex. 
The tissues were expanded then with a tissue Metzenbaum scissors and once the labial tissue was expanded , the tissues were approximated for primary closure without tension using interrupted and continuous sutures # 3 - 0 Gore - Tex .