We present the lower eyelid reconstruction using prelaminated nasolabial skin flap in a 28- year old albino, who presented with medial third lower eyelid lesion with a histopathologically proven basosquamous carcinoma. When dealing with skin cancers of the eyelid, it could involve partial and full thickness excision. The excised tissues should be replaced. The eyelid ulcer was excised, with histogically free margin of 3mm but the medial canthus was spared. There was no injury to the nasolacrimal duct. The excised defect measured 28mm by 19mm of the medial lower eyelid. In the first stage of the reconstruction, a turn over proximally based nasolabial flap was raised and stitched to the excised margin of the lower eyelid. The flap was prelaminated with skin graft taken from the upper medial aspect of the thigh which was hairless. The graft had 100% take and after two weeks, the nasolabial flap was divided and inset. There was satisfactory graft and flap survival. About 8 weeks after the second staged surgery , the nasolabial flap was defatted and a functionally as well as aesthetically acceptable eyelid to the patient was achieved .The use of prelaminated nasolabial flap is a good option in the lower medial third eyelid reconstruction .