Cleft Lip Palate Surgery in Delhi India
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Lip Augmentation & Reduction with Fillers & fat injection in Delhi India | Cleft Lip Repair Cleft palate Surgery | Thick Lip Double Lip Correction

 

Cleft lip & Palate Surgery :- management of cleft lip & palate starts right after birth. cleft lip & palate are not individual problems but are constellation of so many components some of which can be managed non-surgically in early days after birth and these early small maneuvers help a lot n reconstructive surgery later on and have great impact on final cosmetic appearance of baby.

Deformities with Cleft Lip & Palate:- As such cleft lip deformities can be broadly grouped under three headings - cleft lip; cleft palate & cleft lip nose deformity.

Cleft Lip Can be - Unilateral Complete Cleft Lip -

Cleft lip unilateral incomplete before after repair surgery

Unilateral Complete Cleft Lip with Cleft of Anterior Jaw ( Alveolar cleft )- Before After picture

Unilateral ( One Sided) Incomplete Cleft Lip -

Cleft lip nose deformity unilateral incomplete before after picture

Unilateral Incomplete Cleft Lip with Nose Deformity - Before after picture

Bilateral Cleft Lip -

Cleft lip bilateral before after repair surgery

Bilateral Cleft Lip- Before After Cleft Lip Repair surgery Picture

Cleft palate - Cleft palate associated with Cleft Lip

Cleft lip palate bilateral repair surgery before after

Bilateral Cleft Lip and Palate - Cleft of Posterior Palate - Before After Cleft Lip & Palate Repair Picture

Cleft in lip ( Discontinuity of Skin ,Muscle & Mucosa); short vertical and horizontal dimension of lip tissue on cleft side, cleft of gingiva (gum) with involvement of tooth buds; underdeveloped maxilla ( upper jaw bone) on cleft side; cleft in floor of nose; deformity of nostril and ala of nose, Deviation of nose, deviation of nasal septum; drooping tip of nose; cleft in palate; Discontinuity of muscles in soft palate which control speech & swallowing.

Management protocol for cleft lip & palate patients:- i ) soon after birth alveolar molding is started to align alveolar arch ( upper jaw) and simple traction devices to reduce cleft dimension. these can be used by parents at home after consultation with a plastic surgeon.

ii) Cleft lip surgery is done at age of three years.

iii) cleft palate surgery is done between age of 9 months to one year.

iv) Speech Assessment at age of 2.5 years and if needed speech therapy or revision intravelar veloplasty ( soft palate surgery) to improve speech which is usually hyper nasal in these patients.

v) Alveolar arch expansion:- with orthodontic devices, at age of 6 years

vi) alveolar Bone Grafting :- 7-9 years, bone from pelvis ( waist bone) grafted to alveolar arch ( upper jaw) so that bone will become continue , will provide platform for eruption of tooth and support base of nose.

vii) cleft Rhinoplasty:- for correction of cleft lip nose deformity, done once child has crossed age of facial bone maturity , i.e. after 12 years in females and 14-15 years in males. for details visit our "Rhinoplasty " page.

for information on cleft lip nose deformity correction you may visit my research work in research & publication page.

Lip augmentation with Filler or Fat for Thin Lips :
Thin lips usually give tired and exhausted look while full and protruding lip look more healthy and sexy. Thin lips are augmented with fillers or autogenous fat to give more full appearance.


Lip augmentation with autogenous fat graft before after picture.
Lip fat injection can also be used to correct asymmetry of lips as well.

Lip augmentation & asymmetry correction with fat injection

Double Lip / Thick Lip Reduction Surgery :- Double Lip is a variant of occult ( Hidden ) Cleft lip, occurs due to mal -alignment of muscles acting on lip. Correction needs both removal of excess fibro-fatty-vascular tissue as well as restoration of normal lip muscle orientation and frenum lengthening.

Thick lip double lip correction surgery
Double Lip or Thick Upper Lip Correction Before After picture

Thick Lower lip often , is due to small receded chin which alters axis of pull of muscles and leads to Everson of mucosa, so correction involves both Lip reduction, Chin Enlargement or Augmentation and correction of orientation of muscles.
This is important in plastic & Cosmetic Surgery to understand the reason behind any problem, Simplest treatment may not be the optimal treatment always.

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