Abstract: Objective To evaluate the effectiveness of autologous ear cartilage in repairing nasal deformity secondary to unilateral cleft lip in adults by FACE-Q scale, and to provide reference for proper modification. Methods A total of 20 patients with nasal deformity secondary to unilateral cleft lip who were admitted to the Affiliated Hospital of Xuzhou Medical University from February 2016 to October 2021 were enrolled. In the study, their autogenous concha cartilage and concha boat cartilage were collected followed by measurement and cutting, before being implanted into the affected nasal alar and columella. After suturing and fixing, the columella and alar were reshaped, and nasal deformity was repaired. The patients were photographed in the forward position and chin raising position before and six months after surgery. The height of the left and right nostrils and the distance from the lowest point of the outer corner of the nasal wing to the midline of the face were compared before and after surgery. Patient satisfaction was evaluated by FACE-Q scales. Results All the patients successfully finished the surgery. The height of the left and right nostrils and the distance from the lowest point of the outer corner of the nasal wing to the midline of the face were significantly different before surgery (P<0.05), but no statistical difference was found after surgery (P>0.05).According to FACE-Q scale results, all patients showed high satisfaction toward the surgery, where the best satisfaction was seen on psychological function, but the satisfaction toward nostril shape and nasal thickness was relatively low. Conclusions FACE-Q scale results indicate that autogenous concha cartilage shows good effect in repairing nasal deformity secondary to adult cleft lip.