The current state-of-the-art in palatal tumours treatment is excision followed by immediate defect repair. Immediate defect restoration with tissues that are comparable in texture, thickness, and colour eliminates the disadvantages of secondary reconstruction. Immediate rebuilding avoids fibrosis and subsequent defect shrinking, resulting in the loss of true defect borders and dimensions. Only the local random and axial pattern flaps can provide excellent colour and texture for palatal tissue reconstruction. However, the axial pattern flaps provide vascularized tissues of greater size than the random pattern flaps. The submental artery flap (SAIF) and the facial artery myomucosal flap (FAMM) are both axial pattern flaps that are based on the facial artery. They give an abundance of soft tissues with a long arc of rotation capable of repairing multiple palatal defects at the same time. They were employed on 14 patients at the same time as tumour removal. The article explains the comprehensive surgical anatomy and harvesting process, as well as the versatility and reliability of the flaps. It also reviews the clinical findings and explains the benefits and drawbacks of each flap.