The lips are a complex laminated structure. When lost through injury or dis
ease, they present a complex reconstructive challenge. The facial artery mu
sculomucosal (FAMM) flap is a composite flap with features similar to those
of lip tissue. In this article, the anatomy, dissection, and clinical appl
ications for the use of the FAMM flap in lip and vermilion reconstruction a
re discussed. A series of 16 FAMM flaps in 13 patients is presented. Seven
patients had upper-lip reconstruction and six had lower-lip reconstruction.
Superiorly based FAMM flaps were used in eight patients, and eight inferio
rly based flaps were performed in five patients. Three patients had bilater
al, inferiorly based flaps. In summary, the FAMM flap is a local flap that
can be used for lip and vermilion reconstruction. Although not identical to
the Lip, it has many similar features, which make it an excellent option f
or lip reconstruction.