After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S. M. Balaji successfully corrected his buckled ala of cleft nose defect by removing the deviated nasal septal cartilage intranasally and secondary cleft lip repair done to align the vermillion of upper lip perfectly. Results are immediate and nose symmetry achieved. Patient was very happy to have both lip and nose correction at the same surgery without any surgical marks.