Many surgical techniques have been described for the repair of lip loss of substance. There is no single solution for each repair. There are classical indications, and the plastic surgeon must know the principal ones. Each case being particular, the surgeon must often adapt these techniques or combine them. The objective is to achieve the ideal result according to the etiology, the extent of the loss of substance and the local tissue availability. The authors report the case of a reconstruction of the upper lip with an abbe flap associated with a bilateral Webster type jugal advancement flap.