Hospital
Also known as: Paediatric Plastic Surgery, Millard Repair, Cleft Lip Correction, Velopharyngeal Surgery, Congenital Facial Surgery
Considering Cleft Lip?
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Treated areas:Alveolar Ridge, Lips, Nasal Base, Palate
| Age / Stage | Procedure | Purpose |
|---|---|---|
| Pre-operative (0–3 months) | Nasoalveolar moulding (NAM) | Reduce cleft width; prepare lip and nose |
| 3 months | Cleft lip repair (Millard / Tennison-Randall) | Close lip; restore orbicularis muscle continuity |
| 9–18 months | Palate repair (Furlow / Sommerlad) | Close palate; restore velopharyngeal function for speech |
| 2–5 years | Speech therapy assessment | Velopharyngeal function monitoring; pharyngeal flap if needed |
| 8–10 years | Alveolar bone graft | Restore alveolar continuity before permanent canine eruption |
| Adolescence | Cleft rhinoplasty + lip revision | Definitive nasal and lip aesthetic refinement |
Primary lip repair is typically performed at 3-6 months of age; palate repair generally follows between 9-18 months to support speech development.
Yes, cleft care is staged: primary lip repair, palate repair, secondary nasal refinements, alveolar bone grafting (age 7-9) and possibly rhinoplasty or jaw surgery in adolescence.
Modern techniques produce a discreet scar following the natural philtral column, softening significantly during childhood with proper aftercare
Absolutely, many adults benefit from secondary revision surgery, scar revision, lip rebalancing or cleft rhinoplasty.
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