2 Case Reports in Medicine Figure 1: Pre-operative patient’s photograph. Figure 2: Frontal view of double lip. Figure 3: Dissection of hyperplastic upper labial tissues. Figure 4: Sutures placed. 3. Discussion Double lip is an uncommon congenital or acquired anomaly that can have important consequences for the patient [3]. It is generally reported that double upper lip is not evident when lips is at rest but excess fold of tissue projects beyond the vermilion border when lip is tense as in smiling or laughing position [2, 6]. However in our case, hyperplastic tissue was visible even at rest and became accentuated when he tried to show his teeth. Double upper lip may be present with central