Carcinoma of the lip is a common head-and-neck region malignancy more commonly affecting the lower lip (>90%) with squamous cell variant being the most common (95%). Surgical excision of the tumor is the choice of treatment with reconstruction of the ensuing defect. Although various techniques are prescribed, the pick of surgery for reconstruction of full thickness defect in lower lip remains to contest. In this case account, a 65-year-old elderly female, who presented with near-total involvement of the lower lip to squamous cell carcinoma, underwent full thickness lip defect reconstruction combining two classical flaps: The Karapandzic Flap (KF) and Bernard Burrow Webster Flap (BBWF). KF being a single stage procedure has the advantage of being fully innervated with the preservation of sensation and motor function. The BBWF is an excellent procedure for repairing defects that affect more than one-third of the lower lip. It allows use of similar local tissue in a single sitting to cover the defect though at the cost of attaining a dynamic continuity. Thus combining both these flaps in our case advantages of both flaps has been utilized.