Background: The perioral location has great functional, aesthetic and social importance. Over 100 procedures have been described for lip reconstruction, emphasizing the challenges that reconstructive surgeons face when dealing with such defects., Objectives: To outline the surgical reconstruction techniques of perioral defects post-Mohs micrographic surgery (MMS)., Methods: The design and surgical techniques of reconstruction of perioral defects post-MMS are described., Results: The results of the surgical techniques described are illustrated., Conclusions: Herein, we describe the nuances of reconstructive techniques that we have found useful for repairing perioral defects post-MMS., (© 2014 British Association of Dermatologists.)