Cleft Lip Repair Treatment & Management Point of Care StatPearls The nose can be very much affected by a cleft lip especially in a complete cleft. Repair of the nose (aka Primary cleft rhinoplasty) at the time of cleft lip repair is Cleft Lip Repair Millard's Rotation Advancement Flap Hi everyone!, This 18 year old had his cleft lip repaired by another surgeon in infancy. His lip remained foreshortened on the cleft side, he had a whistle deformity and white roll mismatch along