Millard Technique in the Repair of Right Unilateral Cleft Lip: Functional and Aesthetic Outcomes: Case Report.

Abstract

Cleft lip is one of the most common craniofacial congenital malformations and represents a surgical challenge due to its functional, aesthetic, and psychological implications. Its origin is attributed to a disruption in the fusion of the nasomedial and maxillary processes during embryogenesis, leading to an interruption in the continuity of the upper lip, the orbicularis oris muscle, and, in some cases, the nasal base. The goal of surgical treatment is to restore normal anatomy, muscular function, and facial symmetry while achieving a natural and harmonious aesthetic outcome. This report presents the case of a three-month-old male patient with a right unilateral cleft lip, treated using the rotation-advancement technique described by Millard. The procedure was performed under general anesthesia, with anatomical reconstruction of the orbicularis oris muscle, repositioning of the cutaneous flaps, and simultaneous correction of nasal deformity. Postoperative evolution was favorable, without complications, showing proper healing and restoration of lip continuity and nasal symmetry. At six months follow-up, the results were aesthetically satisfactory, with a fine, well-pigmented scar and no retraction. The Millard technique once again demonstrated to be a safe, versatile, and effective surgical option, allowing excellent functional and aesthetic outcomes when executed with precision and respect for anatomical principles. This case emphasizes the importance of early correction of cleft lip, multidisciplinary management, and the application of refined surgical techniques to achieve a comprehensive reconstruction that restores not only anatomy but also function and confidence.