Cleft rhinoplasty
Functional and aesthetic nasal reconstruction designed specifically for the particular features of the cleft nose. Dr. Sierra specialises in rhinoplasty for cleft lip and palate.
What is cleft rhinoplasty?
Cleft rhinoplasty is the surgery that corrects the nasal difference associated with a cleft. The nose in these patients has a specific anatomy: asymmetry of the alar cartilages, a deviated septum and a flattened nostril wing on the affected side. Correcting it requires specific techniques that differ from conventional rhinoplasty.
The nasal difference in cleft lip and palate may be present from birth, or it may have become more marked after the primary cleft lip surgery. Dr. Nico Sierra assesses the specific anatomy of the nose in each case and designs a personalised surgical plan that addresses both breathing and aesthetic outcome.
Rhinoplasty can be performed on its own or combined with revision surgery of the cleft lip. Dr. Sierra determines the right timing and the most suitable approach for each patient, taking into account age, the degree of nasal difference and the patient's own goals.
When is cleft rhinoplasty recommended?
Cleft rhinoplasty is planned once nasal growth is sufficiently complete. The timing varies with the patient's age and needs.
What does cleft rhinoplasty involve?
Cleft rhinoplasty requires specific planning that takes into account the anatomical features of each patient.
What results can you expect?
Cleft rhinoplasty can significantly improve both breathing and the appearance of the nose, with a positive impact on self-esteem and quality of life.
See all →Dr. Nico Sierra completed his fellowship in Craniofacial Surgery and Cleft Lip and Palate at the Federal University of Paraná (UFPR), Brazil. He is a reference surgeon at Clínica Tresserra and Vall d'Hebron University Hospital, and has carried out surgical missions on four continents with Operation Smile.
His experience includes collaboration with Operation Smile on more than four continents, as well as a published chapter with Springer on cleft lip and palate surgery in low-resource settings.
Frequently asked questions about cleft rhinoplasty
These are the questions families ask us most. If you cannot find the answer you are looking for, write to us directly.
Ask a question → What characterises the nose in patients with cleft lip and palate?
The cleft nose has a specific anatomy: asymmetry of the alar cartilages, a deviated septum and a flattened nostril wing. Conventional rhinoplasty techniques are not designed for this anatomy. Dr. Nico Sierra uses specific techniques that address these features and achieve natural results.
At what age is definitive cleft rhinoplasty performed?
Definitive cleft rhinoplasty is usually performed once nasal growth is complete, from the age of 16–17. In adolescents with significant nasal obstruction, a functional correction of the septum may be indicated earlier. Dr. Sierra assesses each case to determine the right timing.
Does cleft rhinoplasty also improve breathing?
Yes. Cleft rhinoplasty addresses both appearance and breathing. Correcting the deviated septum and improving the nasal airway are priority goals in many cases. Dr. Sierra assesses breathing in every patient before planning the operation.
Can rhinoplasty be combined with lip revision?
Yes. In many patients, cleft rhinoplasty can be performed in the same operation as revision of the cleft lip, when both corrections are indicated at the same time. Dr. Sierra plans the most suitable strategy for each case, weighing the advantages of doing them together or in separate stages.
How long does recovery take after cleft rhinoplasty?
Recovery after cleft rhinoplasty follows a set pattern: the patient wears a nasal splint for 7–10 days. Swelling and bruising settle within 2–3 weeks, and relative rest is advised for 2–3 weeks. The nasal result continues to develop over the first 12–18 months until it reaches its final form.
Reviewed by Dr. Nico Sierra · Medical licence no. COMB 45307 · Reviewed: