A common hereditary defect of the oral cavity with grave socioeconomic problem is cleft lip and palate. Although the defect varies in forms and severity, the individuals presented with glitches regarding functions and esthetics. Authors claim that nasoalveolar molding improves facial esthetics and function and has gained more attention. The objective of presurgical nasoalveolar molding comprises improving lip segment, inferior lateral alar cartilages, and alveolar cleft segments. Outcomes of presurgical nasoalveolar molding are promising and hence are encouraged immediately after birth and continued until further corrective surgery is planned. The rationale of presurgical nasoalveolar molding is approximation of the alveolar segments, wherein the surgeon has to perform gingivoperiosteoplasty followed by corrective lip surgery.