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Cleft lip and palate (CLP) are the most frequent congenital craniofacial defects and are usually associated with craniofacial defects and nose deformities that alter the facial aesthetic configuration. The aetiology of CLP is thought to bemultifactorial (genetic, teratogenic and/or environmental factors), 3 although there are no studies which have determined the exact causes that produce it. This chapter describes the nasal deformities associated with congenital clefting and outlines the timing and techniques used to correct these deformities.