01/08/2026
On-table cleft lip and nasal repair result.
We see adult patients who did not have any nasal repair as an infant, and the typical appearance can already be seen here.
The septum - the wall in the middle of the nose - is pulled over to the non-cleft side where it is seen at the front, and then it usually follows the cleft over towards the cleft side deeper inside.
The result is more resistance, worse sleep, more fatigue, and asymmetries that can be much more difficult to work on later on, if nothing was done from the get-go.
There is also slumping and collapse of the nostril rim, with asymmetry of the cartilage compared to the other side.
My current practice is to use all absorbable sutures, except for the one that holds the nasal stent/shaper in place. That one is relatively easy to remove, and by the time the babies know it is being removed, it’s already out. This process has been easier for the babies (and for me!), with less trauma physically and emotionally.
💻 lawplasticsurgery.com⠀
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👨⚕️ Dr. Huay-Zong Law
☎️ (214) 241-1997
📍 Dallas, TX
📍 Plano, TX
🏥 Board-Certified Plastic Surgeon
🎓 Craniofacial Fellowship Trained