Abstract: Introduction: Double lip may be congenital or acquired abnormality. Different surgical approaches were used for management. These approaches may be impacted by the possible edema of the surgical site. Fixed landmarks along the incision line should be determined to achieve ideal healing process. Aim of the work: The aim of this experiment is to assess the success of a new surgical technique for the management of double lip from the point of view of patient satisfaction and healing. Materials & methods: Twelve patients diagnosed as suffering from double lip seeking for treatment were included in this study. They were assigned into two groups (6 patients each). After anesthesia, a standard surgical excision via elliptical incision was used in the first group. A modified surgical protocol was used in the second group by passing a pre-incision suture needle perpendicular to the middle of every planned incision. The pre-incision suture is tied after excision of excess tissue as one of the regular sutures. The excised tissues were histologically examined. The healing changes were recorded. Patient satisfaction was evaluated. Results: Satisfactory healing was achieved in 11 cases. Histological examination revealed that the excised tissues are normal mucosa. Wound dehiscence occurred in one patient from the first group. Furthermore, patient satisfaction analysis revealed significant difference between both groups. Conclusion: Defining preoperative landmarks by pre-incision sutures in soft movable lip tissues with possible edema produces good healing with lessercomplications in double lip patients. In addition,it facilitated more patient satisfaction compared to classical surgical excision