< Psychology Whilst being a cleft lip and palate patient has many internal challenges, a large part of being born with a cleft is that there are external differences in facial structure. This is not a ‘bad’ thing, however it is different. Also, it is important to remember that the differences in cleft patient appearances are unique to that person (in the same way everyone looks different to everyone else). As I grew up, my nose changed shape more noticeably than my lip (after