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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, speech evaluation for feeding will occur during your hospitalization, after birth or with our first clinic visit.

    • Lip repair occurs at approximately 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 approximately 9-12 months.
      Cleft Lip Before Surgery
      Cleft Lip After Surgery
    • We will typically plan for placement of ear tubes at the time of palate surgery.​
    • Bone graft surgery occurs at approximately 7-10 years.

    Secondary surgeries may be needed and can include:

    • Lip and/or nose revision (approximately 4-5 years)​
    • Speech surgery (approximately 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 age 18 years. The first visit will occur approximately 1 month before palate surgery if applicable or at approximately 1 year.

    Additional information can be found at