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Prenatal visits are encouraged for parents with a cleft lip and/or palate who are expecting a baby.

If your child has a cleft palate, evaluation for feeding will occur while you are still in the hospital after birth, or with your first clinic visit.

    • Lip repair occurs at around 3 months.
    • If the cleft lip is a wide unilateral or bilateral cleft lip, we may proceed with lip taping or NAM (Nasoalveolar Molding) to prepare for surgery.
    • Palate repair occurs at around 9-12 months.
    • Cleft Lip Before Surgery
      Cleft Lip After Surgery

      We typically plan for ear tubes insertion at the time of palate surgery.​

    • Bone graft surgery occurs at around 7-10 years.

    Secondary surgeries may be needed and can include:

      • Lip and/or nose revision (around 4-5 years)​
      • Speech surgery (around 3-8 years)
      • Ear tube replacement
      • Jaw surgery (approximately when teenager)

    All patients with a cleft lip and/or palate will be seen annually by the UNC Craniofacial Team until they are 18 years old. The first visit will be around 1 month before palate surgery or at approximately 1 year old.

    Additional information can be found at