The median cleft lip is a very rare form of cleft lip. It can be isolated or to be part of a complex malformation association which
can involve the premaxillary bone, the nasal septum, or even the brain. In some cases, it is part of a syndrome. For the management
of the median cleft lip, the excision with inverted-V incision or inverted-U incision is the most used. Muscle repair is the main step of
surgery. We report the case of an incomplete and isolated median cleft lip in a 14-years-old boy. The inverted-V excision technique
was used. The aesthetic result was satisfying. The isolated form has generally a good prognosis.
Keywords: Median cleft lip; Median cleft face syndrome