Abstract : Background : Bilateral cleft lip nose deformity is a multi-factorial and complex deformity. Bilateral cleft lip repair presented one of the greatest challenges for plastic surgeons. Although the nasal contour in bilateral cleft lip patients is relatively symmetric compared with that in unilateral cleft lip patients, the deformities themselves are more severe. Open rhinoplasty is performed secondarily using auricular cartilage grafts. This approach has a purpose to know the application of Sun Shield Cartilage Graft for Correction of Secondary Bilateral Cleft Lip Nasal Deformities. Methods : A 8-years-old child woman with chief complaint of deformities on her lip and nasal. With secondary Bilateral Cleft Lip Nasal Deformities the patient underwent columella lengthening and Sun Shield Cartilage grafting with open rhinoplasty. Result : The nasal profiles were improved to the patients. The columellar and nostril heights were increased. The columella and the nasal dorsum were lengthened. Conclusion: Based on clinical results indicate that “SUN SHIELD” Cartilage Graft with open rhinoplasty is effective for correction of secondary Bilateral Cleft Lip Nasal Deformities.