A transverse facial cleft is an extremely rare malformation among head and neck abnormalities, which mainly occurs as part of branchial arch syndrome. We present a case of a 34-day-old female infant with bilateral facial clefts accompanied by multiple accessory ears. She visited us in December 2008, with a deformity of the bilateral commissure. Her family and past history were unremarkable. She was born after a full-term pregnancy, and referred to us by her mother’s obstetrician and gynecologist because of facial malformation. Clinical examination revealed bilateral transverse facial clefts and a total of seven skin appendages in the face; three in the anterior part of the left lobe, two in the same part of the right lobe, one in the left commissure and in the right cheek, respectively. She had no micrognathism, and there was no abnormality in the vertebrae or ocular region. A clinical diagnosis of transverse bilateral facial clefts accompanied by multiple accessory ears was made, and the bilateral macrostomia was surgically corrected with multiple Z plastic techniques as well as excisions of the bilateral tags. The clinical course after surgery was satisfactory.