Abstract
The unilateral cleft lip repair is one of the most rewarding and challenging of plastic
surgery procedures. Surgeons have introduced a variety of straight line, geometric,
and rotation-advancement designs, while in practice the majority of North American
surgeons have been using hybrids of the rotation-advancement techniques. The anatomic
subunit approach was introduced in 2005 by Fisher and has gained popularity, with
early adopters of the design touting its simplicity and effectiveness. The objectives
of this article are to summarize the basic tenets of respecting the philtral subunit,
accurate measurement and planning, and tips for transitioning to this subunit approach.
Keywords
cleft lip repair - cleft rhinoplasty - vermillion cutaneous junction - cutaneous roll
