Lip and nose deformity secondary to cleft lip often seriously affects the patient psychologically and is one of the most common localized abnormal shape problems after cleft lip and palate surgery. Since the first cleft lip surgery is often done when the patient is small (mostly in the age of 3-6 months), many tissues and structures are not yet fully developed, which makes it difficult to precisely locate the surgery, while the subsequent growth and development, the tissues and organs keep growing, which also makes the local deformity state amplified, thus revealing more and more obvious shape abnormalities. Clinical manifestations: Upper lip deformity mainly manifests as: obvious upper lip scar, uneven red lip, white lip embedded in red lip, disappearance of lip beads, whistle-like deformity, half upper lip drooping due to excessive upper lip length on the affected side, etc. Nasal deformities are mainly manifested as: nasal wing collapse, nasal lateral foot ptosis, enlarged nasal facial angle, wide nasal base, deviated nasal column, nasal vestibular crease, deviated nasal septum, etc. Treatment: At present, there are many treatment methods for secondary deformities of cleft lip, and the level of treatment varies, however, the treatment of secondary deformities of cleft lip is precisely a comprehensive surgery that combines various treatment principles and techniques of plastic surgery, and its difficulty can be imagined. We often encounter patients who blindly repair secondary cleft lip deformities, and the result is like a tailor repairing a dress, which is more difficult than once. For the treatment of nasal deformity, we currently use the principle of Dallas rhinoplasty, combined with the cash concept of Korean rhinoplasty, using a combination of nasal rotation with cartilage reset and ear cartilage transplantation for comprehensive rhinoplasty, so that the deformed state of the nose as close as possible to the normal nasal shape, and achieved very good clinical results. For the treatment of lip deformity, according to the deformity status of different patients, based on the principle of anatomical repositioning of the orbicularis oris muscle, we transpose and suspend the upper lip orbicularis muscle in a hierarchical manner so as to correct the sagging of the affected upper lip while restoring the continuity of the upper lip. At the same time, a combination of upper lip scar tissue flap and ear cartilage grafting was used to reconstruct the midpersonal ridge and the cleft side nasal threshold, so that the reconstructed upper lip could be restored with more delicate structures (such as the midpersonal ridge and midpersonal concavity, the lip bead in the middle of the upper lip, and the nasal threshold at the junction of the lip and nostril) on the basis of restoring the basic continuity and streamline.