ABSTRACT
The goal of primary cleft lip repair is that the cleft recontruction be undetectable at conversational distance by school age. Failure to reach this goal may be the result of poor planning or technical error and requires correction of secondary deformities of the cleft lip or cleft nose. Secondary deformities vary according to the type of the initial cleft (unilateral, bilateral, incomplete, or complete) and the type of initial repair (rotation advancement, straight-line closure, and triangular or quadrilateral flap). Multiple options are available to correct the various secondary cleft lip and nasal deformities. The procedures selected depend on the risks and reliability of the technique and on the individual surgeon’s preference.
