The patient presented with a residual philtrum scar following a previous cleft-lip repair. The scar ran vertically through the right philtrum column, was wider than the surrounding skin, and slightly displaced the vermilion (lip-edge) line. Treatment consisted of a scar revision: excision of the old scar tissue, careful realignment of the orbicularis oris muscle and vermilion border, and layered closure to reconstruct a finer philtrum column. Following complete healing, the scar is significantly less visible, the right philtrum is more symmetric with the left, and the lip line is realigned. Performed by Dr. Pongsak at Pongsak Clinic, Hua Hin. Final result shown after soft-tissue maturation.