Why is There So Much Disparity Between Surgeons for a Cleft Lip Revision? Dentist Answers, Tips
Cleft Lip And Palate Repair: Q&A
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Why is There So Much Disparity Between Surgeons for a Cleft Lip Revision?

As a 28 y/o woman looking at a cleft lip revision and septorhinoplasty, I have had some different consultations. Undoubtedly each patient's case is different, thus necessitating a different approach. However, in my experience all of the surgeons (all ASPS members) have quite conflicting opinions. I am not sure who to trust anymore! For example, with the notching of the lip, one doc says repairing the superficial muscle is the solution, another a dermal graft, and yet another says to inject fat..

4 Doctor Answers | Asked by KatrinQ
+2

Matching what the surgeon sees with what you want in Cleft Lip Revision and Rhinoplasty

Dear KatrinQ I can see why the different opinions on a rhinoplasty and cleft lip revision can be confusing. Most of my consultation is spent talking about what you see and what functional problems are involved (e.g whistling, nose obstruction, nose bleeds, etc) All of the three things that other surgeons recommended can be very useful procedures for the right situations. The kind of revision of the lip and nose depends on a lot of factors like: 1)... more
+1

Experience counts

Cleft surgery, especially revisional cleft surgery, presents challenging problems for both the surgeon and the patient. Plastic surgery is a unique specialty in that there are many different solutions for any given problem. Conflicting opinions from board-certified plastic surgeons doesn't mean you should lose trust in the surgeons, but illustrates that there are multiple different ways to approach your specific problem. The "right" answer is one that you and... more
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CLeft Lip Repair Discrepancy

Discrepancies can arise among clinicians based on their education, school of philosophy and experiences. DO a lot of consultations and research. It also depends on what your expectations are. I am aware of one facial plastic surgeon with a cleft lip repair himself so he would be a good source because he has lived it and obviously had the opportunity to really investigate and do what is best for himself.

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No substitute for a cleft surgeon with lots of experience in cleft work

Many problems will have multiple solutions, none of which are necessarily wrong. This is where your in-person consultation becomes critical. Not all cleft lip/nose problems are equal. There is no one magic bullet. Rhinoplasty for people who have had their cleft lip/palate repaired tends to be one of the most difficult types of noses to correct. There are aesthetic and functional considerations that need to take into account the underlying abnormal anatomy. Failure to do so will result in... more
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