Introduction <p>Effective management of the premaxilla is crucial in the treatment of bilateral complete cleft lip and palate cases. Vomerine osteotomy is commonly employed with a good degree of success. This study introduces a simple technique for premaxillary setback performed concomitantly with primary cheiloplasty.</p> Methodology <p>12 patients with isolated bilateral complete cleft lip were operated on using this technique. No previous intervention with dentofacial orthopaedics was performed on these patients. In our technique, a small bone trephine was used to osteotomise the vomer, and the setback was done manually. No fixation was used, and the premaxilla was held in position by performing a primary cheiloplasty. The follow-up periods (postoperatively) were the 10th day, 1st month, 6th month, and 1st year.</p> Results <p>At the final follow-up (1st-year), proper premaxillary positioning with complete stability and satisfactory nasolabial aesthetics were observed in all patients, without any complications related to defective perfusion.</p> Conclusion <p>This technique provides a safe solution for premaxillary setback in cases where no prior intervention has been done. It also avoids the use of implants for fixation and the need for secondary surgery.</p>