Two-staged tubercle plasty using a banked prolabial vermilion island flap for bilateral cleft lip

Two-staged tubercle plasty using banked vermilion tissue of the prolabium is an effective technique for correcting an upward convex deformity of the upper lip in patients with bilateral cleft lip. This method preserves native lip tissue during the primary repair and allows for natural median tubercle construction at a later stage. Additional studies with larger cohorts and long-term follow-up are warranted to validate these findings.