Primary Philtrum Column Reconstruction Utilizing a Denuded C-Fla p: An Idea

Abstract

It is difficult but most important to achieve the goals of cheiloplasty in the first surgery, in order to create a balanced and symmetrical lip and philtrum column, as much as possible. Since 1992, we have done 29 primary cheiloplasties with a modified Millard's procedure, utilizing a denuded C-flap for philtrum column reconstruction. From a small series of long-term follow-up of these philtrums, a primary denuded C-flap procedure is proved to provide long-lasting symmetry, and we could say that “Not only God can make Cupid's bow.”