Even for a highly skilled plastic surgeon, managing cleft-lip and nasal deformity is challenging.the deformity may be mostly addressed early at the time of cleft lip repair or later by secondary rhinoplasty procedure.However, it's crucial  to  remember  that  the  severity  of  the  abnormality,  the  consequences  of  growing  through  time,  and  the aftereffects  of  earlier  surgery's  scarring  might  influence  the  outcomes  of  secondary  cleft  nasal  repair.Primary, intermediate, and secondary or final repairs may be categorized according to the time of surgical intervention for correction  of  cleft  lip  nasal  deformity.  The  primary  cleft  rhinoplasty  is  commonly  performed  at  3 months of  age along with primary cheiloplasty.Intermediate rhinoplasty is referred as interventions that carried out before nose growth  is  complete,  between  definitive  lip  repair  and  secondary  rhinoplasty.  Once  the  maxillary  and  nasal development  stops,  which is  around  the  ages  of 14  to 16  for  girls  and  16  to 18  forboys,  secondary  or definitive rhinoplasty is performed.As a result, there is still no agreement on the best method, and the final aesthetics of cleft restoration are still hindered by the cleft nose. But for many, achieving total rectification of all nasal defects remains a distant dream