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A tip for incomplete cleft lip repairs: The nostril can look much larger on the cleft side as you begin your markings. DON’T use the other nostril as a template for deciding how much cleft nasal sill to remove before you’ve repaired the muscle! The columella will pull toward the cleft side, making the noncleft side larger/wider. Sometimes then, no sill needs to be excised. Perhaps this could be predicted, but I don’t think I could do so reliably. Thus I place the peak of my skin mark at the groove just below the sill. If at the end of the skin repair you have a little excess, or need to reorient the alar base at all, then and only then should you take any sill out for final refinements. It’s part of the final 20% of the result, that takes 80% of the time (an inverse Pareto principle). For more, call us at (214) 241-1997 or visit https://lawplasticsurgery.com/cleft-l... HOW TO REACH DR. LAW: Huay-Zong Law, MD - Law Plastic Surgery 7777 Forest Lane C-528 Dallas, TX 75230 (214) 241-1997 https://lawplasticsurgery.com/ CONNECT WITH DR. LAW: / huayzonglawmd / lawplasticsurgery https://g.page/LawPlasticSurgery?share 💻 lawplasticsurgery.com⠀ 📱 @huayzonglawmd 👨⚕️ Dr. Huay-Zong Law ☎️ (214) 241-1997 📍 Dallas, TX 📍 Plano, TX 🏥 Board-Certified Plastic Surgeon 🎓 Craniofacial Fellowship Trained #cleftlip #cleftliprepair #cleftpalate #cleftrhinoplasty #cleftstrong #cleftsurgery #cleftlipandpalate #cleftproud #cleftlipandpalate #cleft #plasticsurgery #plasticsurgeon #dallasplasticsurgery #dallasplasticsurgeon #lawplasticsurgery