IntroductionIn cases of complete bilateral cleft lip, lip adhesion (LA) may be performed prior to definitive lip repair as an alternative to conservative treatments such as taping in patients with a wide cleft and/or prominent protrusion of the premaxilla. LA reduces cleft width and lip tension while providing adequate premaxillary retraction to improve lip morphology after definitive repair. However, scarring from the LA may interfere with the definitive lip repair when flaps are placed on the premaxilla and lateral lips. Postoperative wound dehiscence is common in patients with high wound tension. Furthermore, patients may develop additional scarring from the LA procedure and definitive cleft lip closure, which may negatively affect the growth of the maxillary alveolar arch [1–3].We present herein a case in which preoperative lip and premaxilla correction was achieved by pulling the lateral lips and attaching the lip margins with barbed sutures (STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue Control Device 3-0; Ethicon) with good results, as well as a review of the relevant literature.