With regard to white roll, vermilion border, scar, Cupid's bow, and lip length, the Afroze incision always gave superior results compared with the Millard or Pfeifer incision.Depending on the cut-off for treatment success, the Afroze incision also showed better results regarding nostril symmetry.With respect to the alar base and alar dome, all three incisions showed comparable outcomes.
The patient with the bull's eye on his glabella preoperatively was operated on with a rotation advancement, and I feel he has the best result of the three. There is a very nice white roll and a discrete Cupid's bow, and the scar comes close to mirroring the normal philtral column on the noncleft side. …..The second patient, with the “1” on his glabella, repaired with the Pfeifer incision, I think has the worst result of the three. The scar runs straight up into the nostril, giving him the appearance of having a runny nose, the lip on the cleft side is a bit short, there is no Cupid's bow, and there is a slight alar slump beneath the soft triangle.The third, with the glabellar black spot, was repaired with the Alfroze technique. He has a nice Cupid's bow, but the lip scar wanders away from the desired area of the philtral column and is distracting. There is a very significant vestibular web, and the alar base on the cleft side lacks definition, as does the footplate area of the medial crus. The commissure-to–high point distance on the cleft side also appears a bit shorter than on the noncleft side.