Background: Nasal deformity associated with a cleft lip has been viewed as one of the most challenging reconstructive rhinoplasty problems.The common clinical features associated with cleft lip nasal deformity are its lack of symmetry, alar collapse on the affected side, short nasal length, loss of tip definition, obtuse nasal labial angle, and altered columella show among others. This study aims to evaluate the modified unilateral nasoplasty in a patient with post-operation of unilateral labioplasty at Malahayati Hospital Banda Aceh as a cohort study.Methods: We conducted a retrospective cohort study involving 139 patients who completed the unilateral rhinoplasty operation at Malahayati Hospital from January 2017 to November 2019. Demographic information was recorded, such as the ratio between pre–operation and post–operation, gender, and age. Data were analyzed using SPSS version 20 for Windows.Results: Our results have shown the comparison between cleft nose before rhinoplasty and cleft nose after rhinoplasty is 0.26 vs. 0.58 cm. The patients who came to the hospital to do the unilateral rhinoplasty surgery are 81.00%. Females (61.20%) experienced rhinoplasty more dominant compare to man (38.80%), and the highest age average is between 1 year old until 7 years old (71.00%)Conclusion: Improvement in procedure’s duration and better positioning of both nasal tip and nostril. Expected improvements in terms of aesthetics and functions were observed, but further documentation is still needed.