Lip cancer is the most frequent malignant neoplasm of the oral cavity. Lower lip is the most common site. Defects larger than one-fourth of total upper lip length require reconstruction by established techniques or multiple procedures. Nasolabial rotation flaps based on the upper lateral lip subunit for superficial and large defects of the upper lateral lip are proposed. We report a case of 60 year old female who presented to us with ulceroproliferative growth over the upper lip for 6 months. Edge biopsy proved it as squamous cell carcinoma. We surgically treated this patient with wide excision of the primary lesion and selective neck dissection followed by reconstruction using bilateral nasolabial flaps closed by Z plasty technique.