The muscle attachments are carefully identified. The leveator palati is detached and the correct attachment is performed. Throughout the procedure, the greater palantine vessels are carefully handled. The muscle sling is established. The greater palatine artery is moved away from the canal to aid in repositioning of the flap.
At the end of this procedure, suturing is commenced from Anterior to Posterior direction then towards the uvula. A horizontal or a vertical mattress type of suture is placed. Dead space between nasal and palatal mucosa should be eliminated. For this reinforcement bite is placed even from the nasal mucosa