Nasoalveolar Moulding (NAM)
Home > Best Dental & Maxillofacial Care in Surat > All Oral and Maxillofacial Surgery in Surat > Cleft Lip and Palate Surgery – Expert Care for Lasting Functional and Aesthetic Outcomes > Nasoalveolar Moulding (NAM) – Preparing for Cleft Lip and Palate Surgery
Nasoalveolar Moulding (NAM) is a non-surgical orthopedic treatment used in infants born with cleft lip and palate. It helps shape and align the gums, lips, and nose before cleft lip and palate surgery, improving the outcome of the eventual repair. At Elegance Superspeciality Dental & Maxillofacial Clinic, we offer NAM therapy as a vital step toward successful and aesthetic cleft lip and palate repair.

What is NAM?
NAM involves the use of a custom-made acrylic moulding plate that gently guides the growth of the infant’s gums and nasal cartilage during the early weeks of life. It is typically started within the first 1–2 weeks after birth and continued for several months until the child is ready for cleft lip surgery.
This pre-surgical technique helps minimize the cleft gap, aligning the tissue and bone for better surgical outcomes. It also reduces the severity of nasal deformities, leading to improved before-and-after cleft lip and palate surgery results.
Benefits of NAM in Cleft Lip and Palate Repair
- Reduces the width of the cleft
- Shapes the nasal cartilage for symmetry
- Decreases the complexity of surgical repair
- Enhances final aesthetic and functional results
- Lowers the need for secondary nasal revisions
Risks and Considerations in Nasoalveolar Moulding
NAM is non-invasive and generally safe when managed by a trained specialist. Minor issues like mouth sores or plate dislodgement may occur but are easily manageable. Parental commitment to regular clinic visits (usually weekly) is essential for adjustments and monitoring.
When to Start and Consult a Specialist for Nasovascular Moulding
NAM should ideally be started within the first 2 weeks of birth. If your newborn has a visible cleft lip and/or palate, early consultation with a cleft team is crucial. Early NAM significantly improves surgical outcomes in cleft lip and palate repair.
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Led by a Board Certified Plastic & Cosmetic Surgeon with 20+ years of experience.
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FAQ
What is NAM in cleft lip and palate repair?
NAM is a non-surgical presurgical orthopedic therapy that helps align the gums and nose in infants with cleft lip and palate.
How early should NAM be started?
It is best started within the first 1–2 weeks after birth for optimal effectiveness.
Does NAM replace cleft surgery?
No, NAM prepares the tissues to improve outcomes of cleft lip and palate surgery.
What are the benefits of NAM?
It improves symmetry, reduces surgical complexity, and enhances before and after cleft lip and palate surgery outcomes.
Is NAM covered in cleft lip surgery cost in India?
In many centers, NAM is part of a comprehensive cleft treatment plan, but the cost of cleft lip and palate surgery in India may vary depending on the clinic and duration of NAM therapy.
Tested by Many, Loved by Everyone
EXCELLENT Based on 1660 reviews Pinki Shah2025-09-29Trustindex verifies that the original source of the review is Google. I am incredibly grateful to Dr. Ashutosh Shah and the team at Elegance Clinic for the excellent care provided to my granddaughter after her glass injury. Dr. Shah explained everything clearly, including the primary suture process, and reassured us throughout. The results have been wonderful—her suture line has healed beautifully with no complications. It's a relief to see her recovering so well. Thank you, Dr. Shah, for your professionalism and compassion!" Hasmuk Bhai2025-09-27Trustindex verifies that the original source of the review is Google. મારી મોઢાની કેન્સરની સર્જરી અમદાવાદની હોસ્પિટલમાં થઈ હતી. સર્જરી દરમિયાન જ્યા થી સ્કિન લીધી હતી ત્યાં ઇન્ફેક્શન થઈ ગયું હતું. મેં અનેક ડોકટરોને બતાવ્યું પણ મને રાહત મળતી નહોતી. પછી Dr. Dhaval Sir એ મને Dr. Ashutosh Shah (Elegance Clinic) પાસે મોકલ્યા. અહીં આવીને તેઓએ બહુ જ સારી રીતે સારવાર શરૂ કરી અને માત્ર 1 મહિનામાં મને સંપૂર્ણ આરામ મળી ગયો. હવે હું સંપૂર્ણ ઠીક છું અને Dr. Ashutosh Shah Sir તથા તેમની ટીમનો દિલથી આભાર માનું છું કે જેમણે મને ફરી નોર્મલ જીવન આપ્યું. Hcjgu Ncbvnc2025-09-27Trustindex verifies that the original source of the review is Google. I recently visited Elegance Clinic with concerns about dull skin. The team was incredibly professional and took the time to explain the difference between HydraFacial and chemical peeling, helping me choose the right treatment plan. I ended up getting a combination of both — and the results were amazing! ✨ My skin now feels refreshed, smoother, and noticeably glowing. The staff was friendly, knowledgeable, and made me feel comfortable throughout the process. Highly recommend Elegance Clinic for anyone looking to rejuvenate their skin with real results. Thank you for bringing back my glow! 💆♀️🌸 Aisha D2025-09-27Trustindex verifies that the original source of the review is Google. “I had surgery here for an accidental scar, and I’m very happy with my experience. The doctor was professional, caring, and explained everything clearly. The staff were supportive and made me feel comfortable throughout recovery. My healing is going well." “I sincerely thank Dr. Asutosh Shah and his dedicated team for their excellent care and support during my surgery and recovery. Their professionalism, compassion, and expertise made the entire process smooth and reassuring. I truly appreciate their efforts and would highly recommend their services to others.” Kanaiya Kapadia2025-09-26Trustindex verifies that the original source of the review is Google. I am satisfied my surgery Good staff and doctor hetal prajapati2025-09-26Trustindex verifies that the original source of the review is Google. I had axillary breast tissue for 4 years and got my removal surgery done at Elegance Clinic by Dr. Ashutosh Shah. I am very happy with the results. The clinic is very clean, modern, and well managed. Dr. Ashutosh Shah explained everything clearly and gave me full confidence before surgery. Other doctors at the clinic are also very supportive and professional. The staff is very polite, caring, and always ready to help from consultation to recovery. Overall, my experience at Elegance Clinic was excellent and I truly recommend Dr. Ashutosh Shah and his team for anyone looking for safe and effective treatment. Tahir Shaikh2025-09-26Trustindex verifies that the original source of the review is Google. I had a severe crush injury on my hand and was fortunate to be treated by Dr. Ashutosh Shah at Elegance Clinic. The care I received was exceptional — from diagnosis to surgery and post-op support. Thanks to Dr. Shah’s expertise and the dedicated staff, I’ve made a full recovery. I’m deeply grateful for the professional and compassionate treatment. Highly recommend Elegance Clinic for anyone seeking quality surgical care. Monal Shah2025-09-26Trustindex verifies that the original source of the review is Google. Nice experience very friendly staff.. Got the best guidence for ear pierceing from the doctor and the staff Sanjay Pasaya2025-09-26Trustindex verifies that the original source of the review is Google. Mane machine injury thay hati pachhi me Dr Ashutosh shah pase Mari surgery karavi to atiyre mane saru 6 and badha staff pan Sara 6 Mahima Gandhi2025-09-24Trustindex verifies that the original source of the review is Google. Dr Ashutosh Sir is a brilliant plastic surgeon. Reconstructive surgery of one of my family member, my surgery after RTA, treatment of hair of full family, lazer hair removal. Always had a great experience with him and his whole team. Thank you so much for your brilliant services 🙏🏻