Rhinoplasty to Improve Facial Appearance?

A cleft palate rhinoplasty is a very difficult operation to perform. There are significant asymmetries present that need to be addressed with a specialized type of rhinoplasty. It is important to find a rhinoplasty surgeon who has done thousands of nose jobs so as to better understand the asymmetrical relationships of the tip cartilages, septum, cleft lip, and the anatomy of the cleft nose.

Cleft lip rhinoplasties are very challenging and require specialized techniques specific to this operation. The most important decision you will make for your daughter is selecting the surgeon that has extensive experience with cleft lip noses.

Hi, this is a challenging surgery, but your daughter most likely will experience an improvement in the appearance of her nose with revision surgery. I recommend seeing a plastic surgeon who has experience with congenital problems such as cleft lip and palate. Your best bet would be to call an academic center and ask for the craniofacial surgeon's name and number. Good luck, /nsn.

Hello, It is important to speak with a specialist who is an expert in cleft lip surgery. This is something I have a great deal of experience with, and I know that we can make the nose look a lot better, but not perfect. Please let me know if you have any further questions. Thank you, and best of luck to you. Dr. Nassif

Secondary cleft rhinoplasty can be a very rewarding procedure; however, it may be a difficult procedure since some of the cartilage and bony structure that is there may have been used in her first operation. In addition, the supporting structures in a cleft nose are more bulbous and weakend and may require additional support in order to achieve the best result. I would recommend a surgeon who has experience in secondary cleft rhinoplasty repairs since they can be considerably more difficult... more

The nose is affected by a cleft lip typically as is seen in her photos. These are difficult rhinoplasties and should be handled by one who does a lot of them. It may be that the doctor who worked on her nasal bony architecture thought he had already done the job but there is still improvement that can be made. Improvement is the goal here because a normal nose cannot be achieved.

Clearly you should seek an expert who is familar with this condition. Cleft lip and palate noses have certain characteristics which must be addresssed in order to achieve an optimal correction. This includes inadequate projection, asymmetry of the lower lateral cartilages and inadequate columella.

She has A GREAT cosmetic result from her cleft lip and palate surgery. This tells me that her surgeon(s) are VERY skilled and can repair her nose as well. Her nasal tip is rather typical of a cleft lip patient - a tip which is bulbous and collapsed forward due to unequal support of the lower lateral cartilages making up the nasal tip. I would take her to the original surgeon - a surgeon who is versed in cleft palate and lip repair would do a much better job on her than one who only... more