Abigail was born with a cleft lip, alveolus, and palate meaning her upper jaw and lip failed to fuse in utero. When she was one week old, Dr. Brecht began the process of molding the pieces of her cleft closer together using a technique he helped pioneer called nasoalveolar molding (NAM). By bringing the pieces of her cleft in proper alignment and repositioning the nose tissue prior to plastic surgery, Abigail was able to achieve a more successful outcome with improved esthetics and fewer surgical interventions.