The results on the shape of the lip include a shorter central portion of the lip and a change in the quality and bulk of the red portion of the lip (vermillion). The most noticeable changes in the nose are seen in the columella, which is severely shortened. The nasal tip tends to be wider with poor definition, and the alar bases are displaced backward and are wider than normal.
The side view of the infant with complete bilateral cleft lip and palate shown below is seen on the far right. This picture shows the severe forward displacement of the middle part of the upper lip and gums that occurs with complete bilateral cleft lip and palate and how that abnormal position of the gums changes the shape of the nose. The severity of these changes in the nasal shape can be significantly improved by the use of nasoalveolar molding (NAM)