The secondary cleft lip whistle deformity has challenged cleft surgeons for more than a century. Since the original description of the Abbe lip-switch in 1898, many corrective techniques have been described, a testament to the complexity of the deformity’s etiology and management.5 Several factors must be considered when evaluating a patient to determine the optimal procedure. The reconstructive options may be limited by the availability of local tissue and its composition, which may include wet mucosa, dry mucosa, vermilion, white roll, or skin. In addition, secondary deformities often occur concurrently, and if an unacceptable cutaneous scar or nasal deformity is also present, the surgeon may elect to address them simultaneously. Some authors have proposed classifications and treatment algorithms based on some of these patient-specific factors.3 In our technique, preoperative and postoperative photographs show correction of the whistle deformity. For patient 1, a deficient central lip volume was corrected with the described advancement of oral myomucosal tissue, and the satisfactory cutaneous scar was left untouched; indeed, the fullness postoperatively is a bit excessive, and we hope it will recede slightly over time. For patient 2, the complete absence of dry mucosa in the midline was corrected while maintaining a Cupid’s bow. However, the left cutaneous scar became more prominent postoperatively. For patient 3, the deficient central lip is corrected with this Z-plasty, although the scar remains apparent on the dry lip.