The lips are complex, laminated structures consisting of skin, subcutaneous tissue, muscles, submucosa, and mucosa. The vermilion spans the junction between the intraoral, moist mucosa and the keratinized, dry mucosa that join the skin at the white roll. With any surgical reconstruction, one must take into consideration many factors that affect overall satisfaction in terms of functional and aesthetic results. Lip defects may be traumatic or pathological following excision of large lesions such as squamous cell carcinoma and basal cell carcinoma. Numerous techniques for lip and vermilion reconstruction have been described. J. Pribaz in 1992 described the facial artery musculomucosal (FAMM) flap, which is taken from the lateral cheek as a composite flap. The FAMM flap is an axial flap based on the facial artery as it courses through the cheek lateral to the buccinator muscle, but medial to most of the other muscles of facial expression. In this study, we used FAMM flap in lip reconstruction.