Secondary correction of the cleft lip and nose deformity: a new technique for revision of whistling deformity.

Reconstruction of the continuity of the orbicularis oris is the main component in correction of the whistling deformity. However, many of the cases are associated with other deformities, such as conspicuous lip scars, an unnaturally wide central lip, flaring alae with wide nostril floors, and a short columella with a flat nasal tip. We report a technique that combines correction of such deformities with reconstruction of the orbicularis oris in a single operation.