How Do I Talk to My Child About Their Cleft?

Open communication about cleft helps children develop a healthy self-image. Here is guidance for parents.

Cleft Lip Schematic

Talking about cleft with your child is important for their self-esteem and understanding. Here is age-appropriate guidance.

  • Ages 0-3: Laying the foundation
  • Use gentle, positive language when caring for the scar
  • Normalize the cleft as part of who they are
  • Answer questions from others matter-of-factly in front of your child
  • Ages 3-7: Simple explanations
  • "You were born with a little opening in your lip. The doctors fixed it when you were a baby."
  • "Your scar shows how strong you are."
  • Answer questions simply and honestly
  • Read children's books about cleft
  • Ages 7-12: More detailed conversations
  • Explain the basics of how clefts happen
  • Discuss upcoming surgeries in age-appropriate terms
  • Address questions about being different
  • Validate feelings without over-emphasizing the cleft
  • Teens: Honest discussions
  • Discuss the genetics of cleft (if they are interested)
  • Talk openly about surgical options
  • Discuss how to handle questions from others
  • Address body image concerns
  • Respect their autonomy in decision-making
  • General tips:
  • Follow your child's lead about when to talk
  • Normalize the cleft - do not make it a taboo subject
  • Be positive but realistic
  • Listen more than you talk
  • Model confidence when discussing the cleft

Clinical Guidance

Talk openly about your child's cleft in age-appropriate ways from the beginning. Normalize it, answer questions honestly, and listen to your child's feelings. Your comfort with the topic helps your child feel comfortable too.