Although genetic and environmental factors have been found to effect t
he occurrence of cleft lip, many aspects of its etiology are still unc
lear. The value of the studies on monozygotic twins has been accepted
by many authors. Especially the concordant anomalies gain importance i
n the monozygotic twins who are influenced by the same genetic and env
ironmental factors. Here we present a case of monozygotic twins with c
left lip deformities showing ''mirror image'' concordance.