A member asked:

What do you do for me? i am a 45 year old female.i am suffering from cleft lip and cleft nose.i have had some plastic surgery, but i am not happy.i think, another plastic surgery is necessary for me. i can send my picture to you.would you please help me?

3 doctor answers5 doctors weighed in
Dr. Thomas Lamperti
Facial Plastic Surgery 23 years experience
Depending : Depending on what your nose and lip look like and what your goals are, revision surgery may be possible. It isn't uncommon to need scar revision for prior cleft lip surgery. In other cases volume deficiencies need to be addressed as well. You can follow the link below to learn how to send your photos for review.
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Dr. Jeffrey Israel
ENT and Head and Neck Surgery 47 years experience
In : In my experience, surgery for repair of cleft lip/palate nasal deformities can be quite challenging even in the best of hands. Usually by the time an individual is at the adult stage, it is not uncommon for multiple surgeries on the lip and nose to have been accomplished. My suggestion is to find a plastic surgeon who is affiliated with a cleft palate team or at least one who has extensive experience in cleft rhinoplasty repair. While sending a picture of yourself would be helpful, it is most important to have a thorough exam of both the outside and inside of your nose to make the best recommendations. Finally, if it is at all possible to have access to your past operative records, this would be most helpful for the next surgeon to review. This would allow him/her to see what cartilage and or implants may have been placed. Best wishes.
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Dr. Joseph Mele
Plastic Surgery 34 years experience
Thank : Thank you for your question. Cleft lip surgery is almost always associated with a nasal deformity. There is a wide range on involvement from a small dimple in the lip margin to a wide open cleft involving the lip palate and nose. The larger the defect, and the later it is addressed, the harder it is to get a good result. Because there is such a wide variation in presentation and because you have already had treatment, you would be best served by seeking an in person consultation with a board certified plastic surgeon or maxillofacial surgery who has experience with cleft repairs. During a consultation, the advice you get is specifically geared to your problem and your goals.
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Dr. Donn Hickman
A Verified Doctor commented
A US doctor answered Learn more
The cleft lip nose is one of the most challenging of facial surgeries. Most patients may have undergone only one or two lip procedures and perhaps one or two nasal procedures by the mid teens. The adult often experiences further changes as the nose ages. A photograph is certainly vital because of the range of deformities that can demand attention. So, I agree with the other specialists here.
Apr 14, 2015
Last updated Oct 3, 2016


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