The lips have important functional and aesthetic roles in daily living.1 They are the focal point of the lower face, with several aesthetic units intricately controlled by a complex series of muscles. Several key factors make reconstruction of the lip especially challenging. The lack of any substantial fibrous framework increases the risk of anatomic distortion through wound contraction and, hence, leads to poor functional and aesthetic outcomes. The quality (ie, color, texture, elasticity) of the skin and mucosa of the lips are difficult to match with distant flaps. Hence, local tissues provide the best results. However, with larger oncologic resections and more extensive traumas, an appropriate donor site might be difficult find. This is further complicated by the lack of any satisfactory prosthesis in aid of reconstruction.