Twenty-nine cases of unilateral cleft lip nasal deformities were corrected with modified Bardach's technique. Overall results were satisfactory. The key to a successful and stable correction of the nasal deformity is to lengthen the columella on the cleft side and to mobilize alar cartilage from its surrounding tissue, creating a symmetric shape and length. The major advantages of the technique are lengthening of the cleft columella and creation of a symmetric and well-projected nasal tip. The surgical technique is described in details. Some considerations before and during operation were discussed.