Cleft lip and palate (CLP) is the most common congenital defect of the oral cavity which possesses a serious socioeconomic trouble. A unilateral cleft lip and alveolar deformity is often associated with significant abnormality in nasal cartilage morphology and asymmetry of alar base and columella. The lower lateral alar cartilage is seen to be depressed and concave. There are two approaches to correct this deformity, one involving surgical repair alone and the other involving pre–surgical molding of the cleft segments followed by surgical repair. The present case discusses the non–surgical approach i.e. pre–surgical moulding of the cleft segments in a 4 month old patient to treat unilateral cleft lip through nasoalveolar moulding by modified fixed appliance which was considered to be better and preferable. The goal of pre–surgical nasoalveolar molding was to align and approximate the alveolar cleft segments while at the same time achieving correction of the nasal cartilage and soft tissue deformity. Nasal stent and the intra oral molding plate was adjusted weekly or biweekly to gradually correct the nasal and alveolar deformities