Abstract: The nasolabial flap (NLF) reconstruction technique is the oldest softtissue flap technique since 700 BC. NLF is a very resourceful flap for the defectof basal cell carcinoma in the maxillofacial region. This case report presents a 45year old female, farmer by occupation for more than 20 years, came to ourhospital with an ulcerated nodule lesion on the upper lip for five years. The lesionwas located above the left oral commissure. It was approximated one-sixth ofentire upper lip size. There were purulent discharge and infrequent bleeding fromthe ulcerated lip and no associated with pain. The fine-needle aspiration biopsyrevealed BCC. The lip reconstructive option was left nasolabial flap for lining andcover. Histopathology confirmed the BCC diagnosis without metastases in theulcerated margin. The NLF is a very useful and reliable flap for the lip defectcoverage. It gives better color and contour match with surrounding soft tissue ofthe lip. Despite some cases reported that majority of lip reconstruction requiredprolonged post-operative time and sometimes need a second surgical intervention.NLF still represents as a good option for achieving good oral opening for speech,chewing, and dental hygiene.