Centripetal rotation-advancement for bilateral cleft lip nasal deformities

One of the most difficult sequelae of the cleft lip syndrome is the post-operative nasal deformity. In this presentation we define that deformity according to its components, review the groups of procedures which are available for its correction and suggest a more aggressive approach with the use of additional skeletal support, emphasizing the adequate correction of the nasal tip to obtain more "thrust". A number of long term cases with illustrated follow-ups are shown.