Background: Unilateral cleft lip and palate (UCLP) represent a significant congenital deformity, often requiring multiple surgical interventions. This study focuses on understanding the impact of primary cleft rhinoplasty on the outcomes of secondary rhinoplasty procedures in UCLP patients. Methods: A retrospective cohort study was conducted involving 70 patients with UCLP who underwent primary cleft rhinoplasty followed by secondary rhinoplasty. Data on surgical techniques, operative times, grafting requirements, and patient satisfaction were collected and analyzed. The study also assessed nasal symmetry and functionality post-surgery. Results: The majority of patients who underwent primary rhinoplasty required less extensive secondary procedures, indicated by shorter operative times and reduced grafting needs. Improved nasal tip symmetry was observed in 86% of patient’s post-primary rhinoplasty. Post-secondary rhinoplasty, 93% of patients reported high satisfaction with aesthetic outcomes, and 86% showed improved nasal airway function. Conclusion: Primary cleft rhinoplasty plays a crucial role in reducing the complexity and extent of secondary rhinoplasty in UCLP patients. Early intervention in primary rhinoplasty leads to better long-term outcomes in terms of nasal symmetry, functionality, and patient satisfaction. Recommendations: Early consideration of primary rhinoplasty should be integrated into the treatment plan for UCLP patients. Future research should focus on long-term follow-up and the development of standardized protocols for primary and secondary rhinoplasty in UCLP.

Background: Unilateral cleft lip and palate (UCLP) represent a significant congenital deformity, often requiring multiple surgical interventions. This study focuses on understanding the impact of primary cleft rhinoplasty on the outcomes of secondary rhinoplasty procedures in UCLP patients. Methods: A retrospective cohort study was conducted involving 70 patients with UCLP who underwent primary cleft rhinoplasty followed by secondary rhinoplasty. Data on surgical techniques, operative times, grafting requirements, and patient satisfaction were collected and analyzed. The study also assessed nasal symmetry and functionality post-surgery. Results: The majority of patients who underwent primary rhinoplasty required less extensive secondary procedures, indicated by shorter operative times and reduced grafting needs. Improved nasal tip symmetry was observed in 86% of patient’s post-primary rhinoplasty. Post-secondary rhinoplasty, 93% of patients reported high satisfaction with aesthetic outcomes, and 86% showed improved nasal airway function. Conclusion: Primary cleft rhinoplasty plays a crucial role in reducing the complexity and extent of secondary rhinoplasty in UCLP patients. Early intervention in primary rhinoplasty leads to better long-term outcomes in terms of nasal symmetry, functionality, and patient satisfaction. Recommendations: Early consideration of primary rhinoplasty should be integrated into the treatment plan for UCLP patients. Future research should focus on long-term follow-up and the development of standardized protocols for primary and secondary rhinoplasty in UCLP.