Skip to main content


As specialists in diagnosing and treating conditions of the oral cavity (mouth) and maxillofacial region (jaws and face), Dr. Bryan McLelland, and Dr. Brenen Olsen are adept at resolving a common, disfiguring congenital defect: cleft lip and palate.

Surgery by 12 months and 18 months of age for lip and palate, respectively, may be necessary to avoid life-altering complications, including:

  • Nutritional deficiencies due to feeding challenges
  • Frequent ear infections
  • Impaired hearing
  • Abnormal teeth development
  • Speech impediments
  • Emotional stress due to poor self-image

Fortunately, Liberty Oral & Facial Surgery in Spokane Valley, Washington, and Post Falls, Idaho, can precisely close the gaps or spaces in the upper lips or palate. In doing so, our surgical techniques improve a child’s appearance and the healthy function — breathing, eating, and speech – that supports quality of life and wellbeing.


The specific techniques used to treat cleft lip or cleft palate vary considerably from child to child. Our specialists account for factors such as the size of the cleft or other irregularities when developing treatment plans. Advanced technologies further support our ability to understand any anatomical features or challenges present or to precisely, effectively, and efficiently resolve specific deviations from healthy development.

Individuals with clefts will likely undergo several surgeries before 18 to repair defects and treat related conditions. Treatments may include follow-up surgeries starting at around two and continuing through the teen years.

Initial surgery may involve removing tissue from the palate and relocating it to the cleft. In doing so, the gap is closed. Flaps may be created on both sides of the cleft to rebuild lip appearance, structure, and function or to build the structure of the palate or roof of the mouth. Tissues and muscles may be repositioned, and incisions are closed. Depending on your child’s needs, additional procedures may be necessary to address related conditions and prevent complications. These include treatment of the tubes in the eardrum to address recurrent infections and reconstructive surgeries to the nose and jaws.

Regardless of your child’s specific needs, they are in great hands with our surgeons at Liberty Oral & Facial Surgery. What we do now makes a transformative difference in your child’s health and overall wellbeing for life. Please call us at 509-922-2273 or schedule your appointment today.


  • The staff was great here. Both professional and fun to be around. I had all 4 wisdom teeth pulled and my normal dentist said that the surgery was going to... read more

    James Story Avatar James Story
    January 29, 2020

    Dr. McClellan was great. His staff was so friendly and comforting. Kris and Justin took such great care of my son. I would highly recommend them!!!

    Hope Harper Avatar Hope Harper
    December 16, 2019
  • Had a tooth pulled Monday. Having no issues . Staff is very professional and helpful. Had a implant put in on 11/13/19. No pain what so ever staff very... read more

    Brent Lewis Avatar Brent Lewis
    December 16, 2019

    I felt very comfortable here. Staff are very nice and knowledgeable. They definitely made sure that I was aware all risk and care for before and after post surgery on... read more

    Saundra Bergquist Avatar Saundra Bergquist
    December 7, 2019
  • I felt very comfortable here. Staff are very nice and knowledgeable. They definitely made sure that I was aware all risk and care for before and after post surgery on... read more

    Saundra Bergquist Avatar Saundra Bergquist
    December 7, 2019

    Excellent service. Staff is amazing. I understood exactlly what was being done and everything went beyond my expectations. The Exparel pain relief is amazing no soreness in my mouth... read more

    Paul Carroll Avatar Paul Carroll
    December 6, 2019
  • Great hospitality. Super quick procedure for my wisdom teeth. In and out in less than an hour!

    Marvin Reyes Avatar Marvin Reyes
    November 22, 2019

    I love the doctors. Made the pre and post surgery easy and little to no pain. Also loved the helpful email reminders after my surgery

    Kaela DuChesne Avatar Kaela DuChesne
    November 16, 2019
  • Such a nice environment! Just had my wisdom teeth pulled out and it was such a good experience! They even called me later in the day to make sure I... read more

    November 10, 2019

    Had number 9 pulled. No pain no swelling, staff was very caring and pleasant.

    Jim Oxford Avatar Jim Oxford
    October 22, 2019
  • It was an amazing experience! Dr. McLelland made it very quick and there was hardly any pain. I was nervous about it being painful, but it hardly hurt at all!... read more

    Abi Michaelis Avatar Abi Michaelis
    August 16, 2019

    Went in for a FREE consultation and then I was told when leaving that I owed $127.00 for an X-ray that I did not ask for. I paid said bill and... read more

    Jeffrey Long Avatar Jeffrey Long
    July 19, 2019
  • I had an oral implant in May 2019, and from my original consult to pre-op to the actual procedure and post-op, I can say I am highly satisfied and impressed!... read more

    Vickie Dawson Avatar Vickie Dawson
    May 17, 2019

    Dr. McLelland and his staff are the best in the business. Dr. McLelland talks you through all the procedures. His staff is very attentive, kind and friendly

    Douglas Stewart Avatar Douglas Stewart
    April 11, 2019
  • I just love this place! Dr. Moody is awesome! And all the staff are friendly and caring. I have and will continue to recommend liberty to anyone seeking dental care.

    bridgette terrell Avatar bridgette terrell
    April 2, 2019

    I had 3 teeth extracted here, one being an impacted wisdom tooth. Dr. Moody did an amazing job. It was painless during the procedure and the procedure didn't take much... read more

    Kati Doney Avatar Kati Doney
    March 27, 2019
  • Amazing staff Bryan Mclelland was great would not go anywhere else. They got it down.

    Michael Phillips Avatar Michael Phillips
    March 18, 2019

    Dr. Jones pulled my wisdom tooth 4 days ago and it's healing perfectly. He forewarned me that my tooth was sitting close to a nerve that might result in facial... read more

    Becca B Avatar Becca B
    January 29, 2019
  • Wonderful caregivers. Make sure you are well educated on everything going on. Dr Mclelland is a very skilled surgeon and called later the day of to check up on my... read more

    Laura Wright Avatar Laura Wright
    January 25, 2019

    This was such a positive experience for me!...the staff at Liberty are absolutely attentive, concerned and wonderful...Thank you, Liberty Oral Surgery, for the comfort and speed of my tooth extraction!!

    Laineyrose7 Avatar Laineyrose7
    December 31, 2018