When a baby is born with a cleft lip, cleft palate, or both, it can be overwhelming for parents. Questions about feeding, speech, appearance, and future surgeries often arise immediately. At RH Plastic Surgery, we understand that families facing this diagnosis need clear, compassionate guidance. This article will help you better understand what cleft conditions are, how they’re treated, and what to expect before, during, and after repair.
What Is a Cleft Lip or Palate?
A cleft lip occurs when the tissue that forms the upper lip doesn’t fully join before birth, leaving a small to large opening. A cleft palate involves an opening in the roof of the mouth, which may extend from the front of the mouth to the throat. These conditions can occur separately or together, and they range in severity.
Cleft conditions can affect:
-
Feeding – Babies may have difficulty latching or sucking.
-
Speech – Gaps in the lip or palate can affect sound production.
-
Dental health – Tooth development and alignment may be impacted.
-
Hearing – Middle ear problems can sometimes occur.
Why Repair Is Important
Beyond cosmetic concerns, cleft lip and palate repair is vital for healthy development. Surgical correction can:
-
Restore normal appearance and facial symmetry
-
Improve feeding and nutrition
-
Support clear speech development
-
Reduce the risk of ear infections and hearing loss
-
Boost self-confidence as the child grows
The goal of cleft surgery is not just to “close the gap” but to restore form and function in a way that allows the child to thrive physically, socially, and emotionally.
When Surgery Is Performed
Most cleft lip repairs are performed when the baby is between 3 to 6 months old. Cleft palate repair typically occurs a bit later, often between 9 and 18 months, depending on the child’s health and developmental needs. These timelines allow the baby to grow strong enough for anesthesia while ensuring optimal outcomes for feeding and speech.
In more complex cases, multiple surgeries may be needed as the child grows. Follow-up procedures, such as bone grafts to the gum line or adjustments to improve speech, can take place in later childhood or adolescence.
What to Expect Before Surgery
Preparation begins with a thorough evaluation by a plastic surgeon experienced in cleft repair, like Dr. Richard Ha. This includes:
-
A full medical history and physical exam
-
Feeding support guidance for parents
-
Coordination with specialists such as speech therapists, ENT doctors, and orthodontists
Families are encouraged to bring all their questions to the consultation so they can feel confident about the plan.
The Surgical Process
During cleft lip repair, the surgeon carefully reconstructs the muscles of the lip and shapes them for a natural appearance and function. For cleft palate repair, tissue is repositioned to close the gap and improve the separation between the nose and mouth, which is essential for proper speech and swallowing.
The surgery is performed under general anesthesia, and most children can go home within a day or two.
Recovery and Long-Term Care
After surgery, swelling and tenderness are normal. Parents will receive instructions on feeding, cleaning the incision, and keeping the baby comfortable. Follow-up visits are crucial to monitor healing and evaluate speech and hearing development.
Many children benefit from ongoing care by a cleft team, which may include:
-
Speech therapy
-
Orthodontic treatment
-
Additional corrective surgeries if needed
With proper treatment, most children with cleft lip and palate go on to lead healthy, confident lives.
Support for Families
A cleft diagnosis can feel daunting, but you’re not alone. At RH Plastic Surgery, we walk alongside families every step of the way—from diagnosis through each stage of treatment. Our goal is to help your child achieve the best possible functional and cosmetic results while supporting your family’s emotional well-being.
If your child has been diagnosed with a cleft lip or palate, contact RH Plastic Surgery today to schedule a consultation. Together, we’ll create a personalized treatment plan that ensures your child receives expert, compassionate care.
When a baby is born with a cleft lip, cleft palate, or both, it can be overwhelming for parents. Questions about feeding, speech, appearance, and future surgeries often arise immediately. At RH Plastic Surgery, we understand that families facing this diagnosis need clear, compassionate guidance. This article will help you better understand what cleft conditions are, how they’re treated, and what to expect before, during, and after repair.
What Is a Cleft Lip or Palate?
A cleft lip occurs when the tissue that forms the upper lip doesn’t fully join before birth, leaving a small to large opening. A cleft palate involves an opening in the roof of the mouth, which may extend from the front of the mouth to the throat. These conditions can occur separately or together, and they range in severity.
Cleft conditions can affect:
-
Feeding – Babies may have difficulty latching or sucking.
-
Speech – Gaps in the lip or palate can affect sound production.
-
Dental health – Tooth development and alignment may be impacted.
-
Hearing – Middle ear problems can sometimes occur.
Why Repair Is Important
Beyond cosmetic concerns, cleft lip and palate repair is vital for healthy development. Surgical correction can:
-
Restore normal appearance and facial symmetry
-
Improve feeding and nutrition
-
Support clear speech development
-
Reduce the risk of ear infections and hearing loss
-
Boost self-confidence as the child grows
The goal of cleft surgery is not just to “close the gap” but to restore form and function in a way that allows the child to thrive physically, socially, and emotionally.
When Surgery Is Performed
Most cleft lip repairs are performed when the baby is between 3 to 6 months old. Cleft palate repair typically occurs a bit later, often between 9 and 18 months, depending on the child’s health and developmental needs. These timelines allow the baby to grow strong enough for anesthesia while ensuring optimal outcomes for feeding and speech.
In more complex cases, multiple surgeries may be needed as the child grows. Follow-up procedures, such as bone grafts to the gum line or adjustments to improve speech, can take place in later childhood or adolescence.
What to Expect Before Surgery
Preparation begins with a thorough evaluation by a plastic surgeon experienced in cleft repair, like Dr. Richard Ha. This includes:
-
A full medical history and physical exam
-
Feeding support guidance for parents
-
Coordination with specialists such as speech therapists, ENT doctors, and orthodontists
Families are encouraged to bring all their questions to the consultation so they can feel confident about the plan.
The Surgical Process
During cleft lip repair, the surgeon carefully reconstructs the muscles of the lip and shapes them for a natural appearance and function. For cleft palate repair, tissue is repositioned to close the gap and improve the separation between the nose and mouth, which is essential for proper speech and swallowing.
The surgery is performed under general anesthesia, and most children can go home within a day or two.
Recovery and Long-Term Care
After surgery, swelling and tenderness are normal. Parents will receive instructions on feeding, cleaning the incision, and keeping the baby comfortable. Follow-up visits are crucial to monitor healing and evaluate speech and hearing development.
Many children benefit from ongoing care by a cleft team, which may include:
-
Speech therapy
-
Orthodontic treatment
-
Additional corrective surgeries if needed
With proper treatment, most children with cleft lip and palate go on to lead healthy, confident lives.
Support for Families
A cleft diagnosis can feel daunting, but you’re not alone. At RH Plastic Surgery, we walk alongside families every step of the way—from diagnosis through each stage of treatment. Our goal is to help your child achieve the best possible functional and cosmetic results while supporting your family’s emotional well-being.
If your child has been diagnosed with a cleft lip or palate, contact RH Plastic Surgery today to schedule a consultation. Together, we’ll create a personalized treatment plan that ensures your child receives expert, compassionate care.