Fig. 4. Six-month-old patient with minor-form cleft lip.

(A) Preoperative views show a notched vermillion-cutaneous junction extending 3 mm above the normal cupid's bow peak with vermillion deficiency and a depressed groove on the philtral column. (B) Design of double lateral triangles on both cutaneous and vermillion skin. (C) For muscle overlapping, the medial and lateral muscle flaps were detached from the oral mucosa and completely exposed. The forceps are shown grasping the detached lateral orbicularis oris muscle flap. (D) Immediate postoperative frontal view shows the newly created philtral column on the cleft side and correction of the notched cupid's bow with a minimal incision.