Cleft Lip Rhinoplasty

Discover a new you

Displeasure with your appearance can have significant impacts on your self-perception and leave you with feeling  of unhappiness. This feeling can be heightened in individuals with significant congenital defects, or there may be several facial features which are bothersome to these individuals.

Cleft lip rhinoplasty is a specialised reshaping procedure offered by Dr Paul Gerarchi which can help to correct the malformation of your nose, and return some of the functionality of your natural features. Choosing an experienced and professional surgeon is the first step to realising your dream of a rectified real appearance and a more harmonious facial aesthetic.

Dr paul gerarchi

“A journey of a thousand miles begins with a single step”. Lao Tzu

Meeting your surgeon

Your journey to reconstruction will begin with a thorough examination of the current problems of your face and of what functionality issues you are experiencing. It is important to Dr Gerarchi that all of your questions, concerns, goals and fears are addressed and discussed in depth so you can feel comfortable and confident in proceeding with the surgery.  Attention to detail, in combination with an open communication stream between you and your surgeon will ensure the best possible results.

Dr paul gerarchi

Your journey to facial harmony

You will feel confident knowing that Dr Gerarchi has the highest levels of knowledge and understanding of the asymmetrical relationship between various aspects of the nose and mouth. No two procedures will be exactly the same as each face is unique, and the precise techniques that will be used to restructure and reform your nose will be meticulously devised and discussed during your consolation phase.

Your recovery

Though a cleft lip rhinoplasty differs to a standard rhinoplasty procedure, you can expect a similar recovery process. It is likely that you will be sent home after your surgery so you can relax and recover in the comfort of your own home. Your nose will be placed in a cast to protect the area and to hold it in place. Stitches will later be removed, or will naturally dissolve with time, depending on which your surgeon has decided will be best for you. Rest is a crucial part of the journey as ever, so Dr Gerarchi recommends that you avoid physical activity, smoking and alcohol consumption and that you sleep with your face in an elevated position.

Managing your recovery

Your comfort in the days following your surgery is paramount, so Dr Gerarchi will prescribe pain medication and antibiotics to assist your body and mind through the healing process. It is important that you inform your surgeon about any additional medication you are taking or are intending to take – including non-prescription –  as they may interfere with your healing process and encumber you realising your new nose and lip.

Your post-surgical journey

To ensure that you are progressing satisfactorily and you are pleased with your progress, some follow-up appointments will be scheduled. Dr Gerarchi will examine the area and you are encouraged to communicate openly about how you are feeling and any questions you may have. From consultation, to follow-up, your care and your happiness is at the forefront of the entire process.


Children with cleft lip and/or a cleft palate face a number of challenges, depending on the type and severity of the cleft.

  • Difficulty feeding.While most babies with cleft lip can breast-feed, a cleft palate may make sucking difficult.
  • Ear infections and hearing loss. Cleft palate babies are at extreme risk of developing middle ear fluid and hearing loss.
  • Dental problems.If the cleft reaches up through the upper gum, the development of teeth may be affected.
  • Speech difficulties. The palate is used when forming sounds meaning that the development of normal speech can be affected by a cleft palate, often resulting in a nasal sounding speech.
  • Challenges of coping with a medical condition.Children with clefts may face social, emotional and behavioural problems due to differences in appearance and the stress of intensive medical care.

After a baby is born with a cleft, parents are often worried that they might have another child with the same condition. While many cases of cleft lip and cleft palate can’t be prevented, it is possible to take some steps to lower your risk which include:

  • Genetic counselling.If you have a family history of cleft lip and cleft palate, inform your doctor before you fall pregnant. They may refer you to a genetic counsellor who will be able to determine your risk of having children with cleft lip and cleft palate.
  • Take prenatal vitamins.If you’re planning to get pregnant soon, ask your doctor if you should take prenatal vitamins.
  • Don’t use tobacco or alcohol.Use of alcohol or tobacco during pregnancy increases the risk of having a baby with a birth defect.

During pregnancy, the lips form between the fourth and seventh weeks. As a baby develops, body tissue and special cells from each side of the head grow toward the centre of the face and join together. This joining of tissue forms the facial features, like the lips and mouth. A cleft lip occurs if the lip tissue does not join completely before birth, resulting in an opening in the upper lip. The opening in the lip can be a small slit or it can be a large gap that goes through the lip into the nose. A cleft lip can be on one or both sides of the lip or in the middle of the lip, which occurs very rarely. Children with a cleft lip also can have a cleft palate. The roof of the mouth is formed between the sixth and ninth weeks of pregnancy. A cleft palate happens if the tissue that makes up the roof of the mouth doesn’t join completely. For some babies, both the front and back parts of the palate are open. For other babies, only part of the palate is open.

If you have any questions regarding our cleft lip rhinoplasty procedure, please contact our office. We will be happy to discuss your options and answer any questions you have about the procedure and your specific case.