Background: Tissue distortion and malposition cause clefts in stillborn foetuses. Facial growth complicates the basic cleft nasal deformity into the secondary deformity. Objectives: The aim of this study was to Evaluation of the different rhinoplasty techniques in management of secondary cleft lip nasal deformity Comparing the results of the secondary rhinoplasty in patients who had primary correction and others with no prior correction. Patients and methods: This Prospective study was carried out in Plastic surgery department, Qena university hospital, South Valley University on 20 patients with nasal deformities. Results: There was a significant difference between the two groups with regard to the change in hemicollumellar length and tip height between before and after surgery. In group A, there were considerable variations in preoperative and postoperative results. The Postoperative Alar width were significantly different between the two groups. Regarding the Third Aesthetic rating, there were significant differences between the two groups. In group A, there were substantial differences in preoperative and postoperative satisfaction with appearance as well as contentment with appearance among family and friends. Conclusion: Successful adjunctive surgery, rhinoplasty, strengthens the alar margin, prevents the alar rim from collapsing, and provides supports for the cleft-side alar rim. Stopping postoperative retraction can be done as a prophylactic treatment in people with damaged lower lateral cartilage.