Figure 11.

Case 5—The scar is curved towards the midline and has a lateral extension around the lateral alar base indicating that the previous repair was a Millard repair. This scar has descended down with time. The scar is low on the lip, it is quite visible. The philtral column on the cleft side is too short. This causes the lip to look too “short” as exemplified by excessive red lip show. There is also a notch in the red lip which indicates deficient red lip bulk. The typical cleft nose deformity is shown. The nostril is too wide at its base and the lower lateral cartilage are “buckled.” The previous repaired scars can widen as the patient has grown.