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Arch Facial Plast Surg. 2006;8:221-222.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Traditionally, cleft lip deformities are repaired when the infant reaches about age 3 months. Many surgeons may delay repair in certain cases of severely wide clefts to allow for presurgical preparations such as nasoalveolar molding, lip taping, and, less commonly, lip adhesion procedures.

Repair of cleft lip deformities requires meticulous attention to recreating the 3-dimensional characteristics of the lip and nasal structures by reestablishing the muscular continuity of the orbicularis oris to achieve a functional and aesthetically pleasing upper lip contour.¹ One of the many factors influencing the final result of the cleft lip repair is the amount of wound tension present during healing. Creating too much tension when closing a widely separated cleft lip may result in unacceptable scars and, although rare, wound breakdown (fistula or a dehiscence).

The use of botulinum toxin to minimize facial scarring has been described by Sherris and Gassner² and Gassner et al³ as . . . [Full Text of this Article]

METHODS

RESULTS

COMMENT

AUTHOR INFORMATION

Travis T. Tollefson, MD; Craig M. Senders, MD; Jonathan M. Sykes, MD; Paul J. Byorth, MD