The use of subcutaneous pedicle flaps in lip reconstruction is limited, partly because of the multitude of excellent standard flaps available and partly because of the difficulty in achieving a mobile lip unless functioning orbicularis muscle is incorporated in the flap when repairing full-thickness defects (1). For these reasons, subcutaneous pedicle flaps usually are limited only to skin defects (2, 3, 4). Platysma musculocutaneous flaps from the neck are excellent for reconstructing the lower lip (see Chapter 174).