Skip to main content

Aesthetic considerations of the cleft lip operation


The results of a cleft lip operation are checked from the anterior, the profile, and the caudal views and even if the deformities are minimal, for aesthetic reasons they should be repaired. Philtrum length, philtrum shape, philtrum depth, nasolabial triangular area, vermilion thickness, Cupid's bow peak, horizontal upper lip groove, vermilion border, alar size, depth of alar groove, nasal deviation, nostril shape, nasal tip, columella height, sill shape, columella width, and facial balance of the anterior, profile, and caudal views are used as aesthetic checkpoints for the results of a cleft lip operation. If deformities are found, the aesthetic plastic surgeon should repair them to achieve a more satisfactory result. In addition, augmentation rhinoplasty, augmentation mentoplasty, or other craniofacial surgery may be performed.

This is a preview of subscription content, access via your institution.


  1. 1.

    Onizuka T: Repair of columella base deformity in unilateral cleft lip. Br J Plast Surg25:33–36, 1972

    PubMed  Google Scholar 

  2. 2.

    Onizuka T: A new method to create a philtrum in secondary cleft lip repairs. Plast Reconstr Surg62:842–847, 1978

    PubMed  Google Scholar 

  3. 3.

    Onizuka T: Minimum requirement of cleft lip surgery. Jpn Plast Reconstr Surg22:801–804, 1979

    Google Scholar 

  4. 4.

    Onizuka T: Operative Plastic and Aesthetic Surgery, 2nd ed. Tokyo: Nankodo, 1982, p. 547

    Google Scholar 

  5. 5.

    Onizuka T, Ito Y, Nakamura K: Procedures for repair of the cleft lip nose. Aesth Plast Surg7:179–185, 1983

    Google Scholar 

  6. 6.

    Onizuka T, Iwanami M: Blepharoplasty in Japan. Aesth Plast Surg8:97–100, 1984

    Google Scholar 

  7. 7.

    Topinard XX: in Yamazaki K (ed.), Anthropology of the Face. Tokyo: Tenyu, 1943, p. 413

    Google Scholar 

  8. 8.

    Uchida J: Plastic Aesthetic Surgery, 2nd ed. Tokyo: Kanehara, 1967, p. 185

    Google Scholar 

  9. 9.

    Uchida J: Plastic and Reconstructive Surgery. Tokyo: Kokuseido, 1970

    Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Takuya Onizuka M.D..

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Onizuka, T., Keyama, A., Asada, K. et al. Aesthetic considerations of the cleft lip operation. Aesth. Plast. Surg. 10, 127–136 (1986).

Download citation

Key words

  • Cleft lip repair
  • Cleft lip nose
  • Facial balance