What Is Cleft Rhinoplasty (Nasal Revision)?

Nasal appearance is often affected by cleft lip. Here is what cleft rhinoplasty involves.

Cleft Lip Schematic

Cleft rhinoplasty is a surgical procedure to improve the shape and function of the nose in patients born with a cleft lip. The cleft affects the nasal base and cartilage.

  • What it addresses:
  • Wide, flat nostril on the cleft side
  • Asymmetrical nostrils
  • Deviated nasal septum
  • Depressed nasal tip
  • Difficulties breathing through the nose
  • When it is performed:
  • Minor nasal correction: at the time of lip repair (3-6 months)
  • Major nasal revision: in adolescence or adulthood (age 15+)
  • Combined with orthognathic surgery (if the jaw is also being corrected)
  • What is done:
  • The cartilage on the cleft side is repositioned
  • The nostril is reshaped
  • The septum is straightened
  • The nasal base is balanced
  • Surgery is done through incisions inside the nose
  • Recovery:
  • Similar to standard rhinoplasty
  • Swelling and bruising for 1-2 weeks
  • Final result takes 6-12 months

Clinical Guidance

Cleft rhinoplasty corrects the nasal asymmetry caused by cleft lip. It improves both appearance and breathing. The final surgery is typically performed in adolescence or adulthood after facial growth is complete.