Cleft Tip Rhinoplasty
It is common to have an asymmetric nasal tip in patients with unilateral clefts, or under-projection of the nasal tip with bilateral clefts. If this can be improved with surgery, it is typically performed after age 4 and often incorporates a cartilage graft from the ear and use of the Koken Nostril Conformer or splint. In cases of mild asymmetry surgery may not be indicated.
Because the septum (the dividing wall between the two nostrils) is considered a growth center, the procedures performed to improve breathing (i.e. septoplasty) are not generally performed until the formal septorhinoplasty that takes place in the teen years.