Purpose: To assess the effectiveness of local flaps for total lower lip reconstructions.To preserve oral function and achieve acceptable cosmetic results.To certify the two-stage operation is deserved.Methods: We applied two-stage operation in a patient with total lower lip defect following excision of squamous cell carcinoma.Total lower lip reconstruction was performed in two operations.The first operation method is local Upper lip pedicle flap and two advancement flaps.After first operation,we just restored a large part function.Such as,oral competence,muscle function,lips sensation.The disadvantage is microstomia,so subsequent corrective surgery is required.The second operation is restore the oral gape.