Background and Objective- Evaluating outcomes after cleft rhinoplasty can be challenging because of the lack of objective measures that would lead to a more desirable outcome. Methods - It was a retrospective record based study in which the data of age group between 12 to 21 years was considered for a period of 3 years from 2020 to 2022. The medical records of 35 patients having 90% complete and 10% incomplete unilateral cleft lip who underwent secondary cleft rhinoplasty conducted by single surgeon. Technique variations recorded from the operative reports where incision shape (stair step, v-shaped or closed incision) tip sutures, osteotomy technique, cephalic reduction technique additional excisions like (nasal web lateral vestibule or soft triangle excision) spread and the non spreader cartilage graft crushed nasal dorsum fraft in alloderm, type of septoplasty (extensive versus limited) and history of rhinoplasty.