Lymphangiomas are benign lymphatic growths secondary to developmental aberration. They are generally found in young patients. However, they may be undiagnosed or improperly treated, as in this case, and appear as the patient grows older. The isolated location of the lesion in the upper lip and the age of the patient are unusual; few cases have been reported in the literature. Complete surgical excision resulted in restoration of normal anatomic contour of the lip.