A 70 years old male patient presented to our hospital with bleeding from a fungating mass below the tip of the nose. A biopsy was taken and revealed the lesion to be moderately differentiated squamous cell carcinoma. Excision of the tumour required removal of tip of the nose including the lateral nasal cartilages and some of the nasal septum and part of upper lip. Nasal reconstruction was done by using median forehead flap and lip reconstruction was done by reverse karapandzic flap. The patient had a good appearance and his family was also satisfied with results. We think that this type of reconstruction is suitable for cancer involving nose and upper lip.