# Secondary Bilateral Cleft Lip Deformity Correction With Modified Double Z-Plasty to Reconstruct Cupid’s Bow

## TL;DR

This paper presents a new minimally invasive surgical technique to correct upper lip deformities after cleft lip surgery, offering better aesthetics and shorter operation times.

## Contribution

The novel method uses a modified double Z-plasty for secondary bilateral cleft lip deformity correction.

## Key findings

- The technique provides favorable aesthetic outcomes and minimal invasiveness.
- It allows for combination with other procedures like scar removal and nasal correction.
- The method is simple, reduces operation time, and addresses soft tissue deficiencies.

## Abstract

A secondary bilateral cleft lip deformity represents a common aesthetic and functional complication following cleft lip surgery. Treatment approaches vary based on the severity of the deformity, with the surgeon determining the most appropriate intervention plan to address each case. Upper lip reconstruction following cheiloplasty faces significant challenges due to soft tissue deficiencies, scar formation, and unpredictable outcomes. This report introduces a novel method for minimally invasive upper lip reconstruction with bilateral cleft lip after initial cleft closure. This approach offers favorable aesthetic outcomes, a short operation time, a simple flap design, and minimal invasive intervention. Moreover, it can be combined with other procedures, such as scar removal on the white lip, correction of the red lip margin, oral vestibule formation, closure of the palatal fistula, and nasal correction, depending on the patient's situation.