%0 Case Reports %T The "Double" Tessier 7 Cleft: An Unusual Presentation of a Transverse Facial Cleft. %A Raveendran JA %A Chao JW %A Rogers GF %A Boyajian MJ %J Cleft Palate Craniofac J %V 55 %N 6 %D 07 2018 %M 27959587 %F 1.915 %R 10.1597/16-157 %X Congenital macrostomia, or Tessier number 7 cleft, is a rare craniofacial anomaly. We present a unique patient with bilateral macrostomia that consisted of a "double" transverse cleft on the left side and a single transverse cleft on the right side. A staged reconstructive approach was used to repair the "double" left-sided clefts. This staged technique produced a satisfactory aesthetic and functional outcome.