In approximately 50% of kids with cleft lip and palate the upper jaw will not grow as quickly or as far as the lower jaw. This results with a sunken in appearance to the middle portion of the face, as well as, an underbite. In these kids doing jaw surgery can truly be lifechanging. Our team plans the cases using medical modelling (computer generated models) which exactly represent the childs’ occlusion and bone structure. From these models we plan the surgery to create the most symmetric and appropriate result for our patients. Usually this is performed once skeletal growth is near complete (late teens).