One and a half years after the final stage of reconstruction, this patient shows excellent healing following a two-stage bilateral cleft lip repair and cleft rhinoplasty performed by Dr. Payne. The procedure reshaped and supported the nose while addressing the characteristic nasal asymmetry associated with bilateral cleft lip, resulting in a more defined nasal profile and improved facial harmony. The refined lip contour and balanced nasal appearance reflect the long-term outcome of this complex reconstructive surgery.