Secondary deformity following primary cleft lip repair is common. It is usually the result of the technique during the primary repair, sequelae from the original deformity, or poor scar formation. Minor deformities that involve 1 anatomic area such as the nose, cutaneous lip, vermillion, and mucosa can be addressed with a minor revision technique. Major deformities that involve more than 1 minor deformity require complete take down of the original repair and rerepair. Cleft septorhinoplasty involves addressing residual cleft nasal deformity and should ideally be performed at or approaching the completion of nasal growth.