Maintaining the shape of the alar bases or improving their appearance is one of the goals of a good bilateral lip repair.
The first stage adhesion for any bilateral cleft lip repair aligns the new philtral position more accurately and makes subsequent adjustment much easier.
The intention is not to make a picture perfect repair in the first stage of the surgery but to do a functional adhesion which aligns the anatomy to a more accurate level.
Maintaining the alar base shape make the second aesthetic surgery more accurate .
I have found this approach a useful method for correcting different presentations of bilateral cleft lip.