Cleft lip: aesthetic results following a different skin incision

In a revision of the cleft lip cases repaired in the past 20 years using the most common techniques, the most significant observation that has emerged is the alteration of lip anatomy due to the abnormal dislocation of tissue masses and scar direction. These may have negative consequences on the final development of the lip. In an effort to avoid some of these inconveniences the authors propose a very flexible technique that recalls Pfeiffer's concepts, consisting of a vertical line of incision interrupted at various points so as to obtain angles of different degrees. The method has been named the W-technique with variably sized angles.