Basically cleft surgery is a correction of asymmetry. The distorted anatomy of the unilateral cleft of lip is corrected by a rotation incision that releases lip tissue, including the Cupid’s bow, downward into normal symmetrical position with the opposite side and advances the lateral lip element into the rotation gap to maintain rotation and complete the lip reconstruction. The advancement action assists the correction of the flaring ala, and the C-flap aids in unilateral columella lengthening.
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