Figure 6.

Post-operative result. Lengthening of the white lip was accomplished by designing a triangular flap from the lateral side of the white lip skin. Another triangular flap was designed from the lateral cleft side vermilion mucosa and inserted into the central vermilion to provide fullness to match the vermilion of the non-cleft side. The orbiculas oris muscles of the lip have been repaired and are now in continuity. The previous groove along the vertical scar is now gone. The medially and lateral parts of the lower lateral cartilage has been released at the alar base and the cartilage has been repositioned and held in place by the McComb’s sutures. The slumped alar dome on the cleft side is elevated and suspended to the non-cleft side of the alar dome of the nose.