Defects of the lip and perioral area present a significant challenge for reconstructive surgeons. It is important to obtain results that are a success from the functional and aesthetic standpoint. In planning the reconstruction, the surgeon should consider the age and general state of health of the patient and dental status. The surgeon should be well acquainted with the essential principles in planning reconstructive procedures. By becoming familiar with advantages and shortcomings of different cheiloplasty procedures, the surgeon will be able to implement the functionally and cosmetically appropriate technique in each specific case.