Bilateral Cleft Lip Repair with Modified Mulliken Technique

Bilateral cleft lip presents a complex reconstructive challenge requiring precise restoration of lip height, symmetry, orbicularis oris continuity, and nasal form. This video demonstrates a step‑by‑step technique for bilateral cleft lip repair, emphasizing principles that optimize both functional and aesthetic outcomes. Key components include preoperative markings to establish balanced philtral dimensions, meticulous dissection and mobilization of lip elements, anatomical reconstruction of the orbicularis oris muscle, and tension‑free closure of the cutaneous and mucosal layers. Attention is given to central segment positioning and nasal base support to improve early nasal symmetry. The technique is illustrated in a clear, reproducible manner suitable for surgical trainees and practicing surgeons. This video aims to provide a concise, practical guide to bilateral cleft lip repair while highlighting technical pearls that enhance surgical precision, symmetry, and long‑term outcomes.