Cleft lip and palate deformities are seen on one in 600-1000 live birth. Primary repair of lip and palate defects is usually completed in first year of life. However, revision is sometimes required for lip scar, soft tissue deficiency and asymmetry. Scar revision with local flaps and soft tissue augmentation are commonly required. Also, velopharyngeal insufficiency is seen cleft palate patients with incomplete closure of the oropharynx results in excessive nasality. Incomplete closure can be result of deficient soft tissue or decrease in motility of oropharyngeal sphincter muscles. Pharyngoplasty can be performed to narrow the oropharynx but the repair is static and it is difficult to control the optimal closure. Fat graft can be applied to correct these deformities. The procedure is less invasive with short recovery time.

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