nes and some unknown environmentalthings. For this, a cleft lip is described as a multifactorial condition. Though the child is born with thisdeformity, it is not a deformity that can not be made normal by surgery. A baby born with a cleft lip usually has an operation to close the lip at 1 to 2 months of age. Cheiloplasty, or cleft lip repair, closes the opening in the lip caused by this birth defect. If the cleft isbi-lateral, closing it can be done on both sides simultaneously or the surgeon may repair the lip one side ata time in separate surgeries. Sometimes, in a bad case of cleft lip, a preliminary operation to bring thetwo sides of the separation closer will probably be needed. This operation can be either a lip adhesion,which means to sew the edges together without aligning the lip, or to put something in the mouth tomechanically align the lip and gums. Cleft lip repair is typically done in a hospital with the patient underanesthesia. There are two common surgical approaches. There is the rotation-advancement lip repair,where the surgeon makes an incision on both sides of the nostrils, going from the lip into the nostrils.Working through the incision, the surgeon opens the lip completely, rotates the pink outer part downward,and advances skin from the cheek into the cut part to get rid of the cleft. The second way is referred to astriangular flap repair. This means that the surgeon makes incisions to make small skin flaps between thelip and nose. These flaps overlap to close the cleft, restore muscle function, and form the normal lipshape. Usu
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