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Adequately mobilization of the cleft side alar base and lateral lip then advance the whole lateral complex superiorly and medially can always level the Cupid’s bow thus vertical shortening of the lateral lip is seldom needed

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This approach may include the use of calcium channel blockers like nifedipine (Procardia) and alpha-blockers like tamsulosin (Flomax) for four to six weeks (Antonelli 2015)