Secondary repair of unilateral cleft lip nose deformity with bilateral reverse-U access incision.

Unilateral cleft lip is often accompanied by bilateral deformity. We use bilateral reverse-U incisions for the primary repair of unilateral cleft lip nose. This principle can also be applied to achieve symmetry of the nose in the secondary correction of the unilateral cleft lip nose. By the use of bilateral reverse-U access incisions and an inverted trapezoid suture between alar cartilages and nasal dome, it has become possible to achieve nasal symmetry and clearly defined alar groove. The surgical procedure is presented along with some representative cases.