A cleft lip is a defect (gap) between the lip and or nostril edges that may occur commonly in up to 1/1000 newborns. It may often be diagnosed on prenatal ultrasound around 20 weeks of gestation. Surgical repair of the skin, mucosa, nose, and lip muscle occur around 3-4 months of age and may require presurgical molding by a process called NAM. Good aesthetic and functional results can be obtained, however, minor revisions may be necessitated when your child is older (particularly in the nose) due to the unpredictability of facial growth.
BILATERAL CLEFT LIP
A bilateral cleft lip involves two sides of the lip, often creating a wide nose with a short columella. Similar to a unilateral cleft, a NAM appliance is used to better shape the nose and taping is provided to narrow the gap. A bilateral repair is typically performed around 5 months to take full advantage of the molding forces of the NAM appliance and to allow for growth.
Bilateral Cleft Lip After
Way after Bilateral Cleft Lip