Many surgical approaches and techniques to repair cleft nasal deformities have been described. Because the presenting patient with a congenital deformity is young, the surgical plan must account for patient growth and surgical scarring. The surgeon should understand the pathophysiology of the deformity and have a systematic surgical plan. This article describes the classic nasal abnormalities associated with clefting of the lip, and outlines surgical techniques and timing used to minimize these deformities.