Cleft Rhinoplasty

Specialist Nose Reconstruction for Cleft Lip & Palate Patients

Living with the lasting effects of a cleft lip or palate can affect both the appearance and function of the nose. Many adults experience asymmetry, breathing issues, or concerns about nasal shape long after childhood repair. At Manchester Private Hospital in Manchester, our experienced surgeons offer advanced cleft rhinoplasty to restore balance, improve airflow, and help patients feel confident in their facial appearance.

This procedure is highly specialised, requiring expert understanding of cleft anatomy and reconstructive techniques — something our team is proud to deliver with precision, care, and compassion.

male rhinoplasty before after

What Is Cleft Rhinoplasty?

Cleft rhinoplasty is a reconstructive and cosmetic nose surgery performed to correct nasal deformities caused by a cleft lip, cleft palate, or both. Unlike standard cosmetic rhinoplasty, this procedure addresses structural differences such as displaced cartilage, asymmetrical nostrils, and airway collapse.

Patients commonly consider this treatment during adulthood, when facial growth is complete and long-term cleft-related nasal issues become more noticeable. For many, this is the final step in restoring balance and completing their reconstructive journey.

If you’ve searched for rhinoplasty for cleft lip, you’re likely seeking improvement in both appearance and breathing — and our surgeons can help you achieve both.

Why Is Cleft Lip Rhinoplasty Needed?

A cleft lip often affects the nose’s development, leading to:

  • Uneven or widened nostrils

  • A flattened or under-projected nasal tip

  • A deviated septum

  • Weak or displaced nasal cartilage

  • Breathing difficulties

  • Visible nasal asymmetry

These differences can negatively affect self-esteem, nasal function, and facial harmony. Cleft lip rhinoplasty is designed to correct these concerns through structural reconstruction and aesthetic refinement.

Who Is Cleft Rhinoplasty For?

You may benefit from cleft rhinoplasty if you experience:

  • Uneven or asymmetric nostrils

  • A flat or under-projected nasal tip

  • Wide or collapsed nasal base

  • Difficulty breathing through one or both sides

  • Septal deviation

  • Old scarring altering the nasal shape

  • Concerns about facial symmetry and confidence

Adults who previously had cleft lip/palate repair commonly seek this procedure for refinement, balance, and improved airway function.

Common Concerns Caused by Cleft Nasal Deformity

Cleft-related nasal differences can vary widely but often include:

  • Flattened tip cartilage

  • Displaced nasal septum

  • Uneven nostril size or shape

  • Weak internal support

  • Collapsed airway on one side

  • Excess scar tissue

  • Asymmetrical nasal bridge

  • A wider, more flared nasal base

Cleft rhinoplasty addresses these issues through structural correction and aesthetic refinement.

Our Advanced Cleft Rhinoplasty Technique

Because cleft-related nasal anatomy can be highly complex, our surgeons use a combination of advanced reconstructive methods. The cleft rhinoplasty technique typically includes:

1. Open Rhinoplasty Approach
Allows full access to nasal structures for precise reshaping, ideal for complex cleft repairs.

2. Cartilage Grafting
Using cartilage from the septum, ear, or rib to strengthen weak areas and improve long-term support.

3. Nasal Tip Reconstruction
Repositioning and reshaping the nasal tip for improved symmetry and definition.

4. Nostril and Nasal Base Adjustment
Correcting uneven nostrils or a wide nasal base for better facial balance.

5. Septoplasty & Airway Improvement
Straightening the septum and opening the internal nasal valves to improve airflow.

6. Scar Refinement
Softening and improving old cleft-related scars where possible.

These techniques work together to create durable, natural-looking improvements in both appearance and function.

With extensive experience in complex nasal reconstruction, Mr Faisal Ashfaq — Consultant Plastic Surgeon — is known for achieving balanced, natural results in even the most challenging cleft cases. His meticulous approach ensures both cosmetic refinement and meaningful functional improvement.

Your Consultation at Manchester Private Hospital

During your personalised consultation, our surgeons will:

  • Assess your facial and nasal anatomy

  • Evaluate nasal airway function

  • Review your medical and surgical history

  • Take photographs or 3D images

  • Discuss aesthetic goals and functional concerns

  • Outline a tailored surgical plan

The consultation is your opportunity to understand the process, see potential outcomes, and ask any questions with complete confidence.

What to Expect on the Day of Surgery

  • Pre-surgery meeting with your surgeon
  • General anaesthesia
  • Procedure time: typically 2–4 hours depending on complexity
  • Some patients may require an overnight stay
  • Nasal splint placement to support healing
  • You will return home with clear guidance on aftercare and medication

Recovery & Aftercare

Healing varies, but typical recovery includes:

  • Splint removal after 7 days

  • Bruising and swelling for 1–2 weeks

  • Returning to work in 10–14 days

  • Avoiding exercise for 4–6 weeks

  • Full results visible in 6–12 months

At MPH, we provide thorough follow-up appointments, scar management support, and a personalised aftercare plan for a smooth recovery.

Benefits of Cleft Rhinoplasty

Aesthetic Improvements

  • More symmetric nostrils

  • Refined, sculpted nasal tip

  • Improved nasal projection

  • Better definition and contour

  • A more balanced facial profile

Functional Improvements

  • Enhanced breathing through improved nasal airflow

  • Correction of deviated or displaced septum

  • Strengthening of nasal support structures

  • Better sleep and exercise comfort

Cleft rhinoplasty can be life-changing for patients who have struggled with nasal function since childhood.

Cleft Rhinoplasty Before and After – What to Expect

Most patients see significant improvements in:

  • Nostril symmetry 
  • Nasal bridge alignment 
  • Tip projection and definition 
  • Nasal base width 
  • Breathing comfort 
  • Overall facial harmony 

Viewing real patient examples of cleft rhinoplasty before and after or cleft lip and palate rhinoplasty before and after results can help you visualise the potential changes. These images demonstrate how structural correction and fine aesthetic detail work together to create natural, balanced outcomes.

rhinoplasty before and after patient-2

We encourage you to view our Cleft Rhinoplasty Before & After Gallery to see examples of real patient transformations. These images highlight improvements in nasal symmetry, tip shape, and overall facial balance.

Why Choose Manchester Private Hospital for Cleft Rhinoplasty?

  • Performed by GMC-registered specialist surgeons

  • Expertise in rhinoplasty for cleft lip and complex nasal reconstruction

  • State-of-the-art, CQC-approved surgical facility

  • Advanced grafting and structural support techniques

  • Aesthetic + functional approach for the best long-term outcomes

  • Compassionate, personalised care

  • Clear, transparent pricing and finance options

Our team prioritises natural results and improved breathing for long-term comfort and confidence.

Book Your Private Consultation

If you’re ready to explore cleft rhinoplasty, or simply want expert advice, our team is here to guide you every step of the way.

Call Us Today on 0161 507 8822 or Request a FREE Consultation Online

Start your journey toward improved confidence, balanced facial features, and better breathing with Manchester Private Hospital

Frequently Asked Questions

Most patients experience significant improvement due to septal and valve reconstruction.

Discomfort is usually mild and well managed with prescribed medication.

Typically late teens or adulthood, once facial growth is complete.

Yes, outcomes are long-lasting, with structural improvements providing stable results.

Yes — depending on your goals, it can be combined with septoplasty or aesthetic refinements.

Yes, nostril asymmetry correction is a key part of the procedure.

Absolutely — many patients undergo refinement as adults to address lingering concerns.

Incisions are minimal and carefully placed; most scars fade extremely well.

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