Secondary deformities after cleft lip surgery can be roughly divided into lip deformities, nose deformities and maxillary deformities. Lip deformity includes the abnormality of red lip shape and the abnormality of white lip shape. Common lip red deformities include irregular lip red edge, lip arch deformity, lip red depression and so on. The common deformities of white lip are that the upper lip is too tight and too loose. Secondary nasal deformities include alar collapse of the affected side or both sides, incorrect tip of nose, deviated columella, too large or too small nostrils, etc. Maxillary deformities are mainly caused by mandibular dysplasia, such as midfacial depression and bilateral cheek asymmetry.

Surgical methods: According to the severity and requirements of the patient's deformity, the overall design was carried out in order to choose the best surgical method.

1, uneven lip red edge: the main reason is that the positioning and suture of lip red edge are not accurate during the second operation. It is usually repaired by re-suture and "Z" plasty.

2. Lip red depression: It is mostly caused by the high position of lip peak and the weak lip red tissue where lip peak is formed. In addition, postoperative scar contracture can also cause labial redness and depression. Slight labial red depression can be repaired by V-Y plasty, and labial red depression can be repaired by Z-plasty.

3. Protrusion of red lips: most of them are caused by excessive retention of red lip tissue during primary operation. It can be repaired by partial excision of lip red or "Z" plastic surgery.

4. Obvious labial arch: Most of them are defects in surgical design or improper selection of surgical methods, which destroy the normal labial arch. Tattoos can be used to correct.

5. Upper lip is too tight: it is more common in patients with bilateral cleft lip, which is mainly related to the large defect of original cleft lip tissue or too much lip tissue removed by one-stage operation. Cross lip flap is often used in clinic.

6. Upper lip is too loose: most of them are caused by unreasonable design of primary operation, too much red tissue on the lip, or insufficient contraposition suture of muscle layers on both sides of the cleft edge. It can be repaired again through the first stage.

Surgical care:

1, oral antibiotics for 3~5 days.

2. The stitches were removed 7 days after operation.

3, keep the wound clean, you can apply red toxin eye ointment.