Unilateral Cleft Lip: Primary Repair

The unilateral cleft lip deformity is characterized by uncoupled premaxillary growth leading to distinct nasolabial anatomic changes. Careful analysis of the cleft deformity is important for surgical design. Several techniques have been developed for cleft lip repair. The surgeon should select the method that compliments their style, working consistently in their hands. The best predictor of long-term outcome is the final appearance, balance, and harmony in the operating room. Meticulous photographic and anthropometric records will aid the developing surgeon in improving their technique.