From the *Operation Smile International, Norfolk, VA; †Division of Plastic Surgery, Military Hospital, Bogota, Colombia; and ‡Department of Surgery, San Ignacio Hospital, Bogota, Colombia. Received November 30, 2010, and accepted for publication, after revision, January 28, 2011. Conflicts of interest and sources of funding: Dr. Bermudez serves as an advisor to Operation Smile's Research and Outcomes Program. Dr. Lizarraga works for Operation Smile as a Research and Outcomes Specialist. Reprints: Ana K. Lizarraga, MD, Operation Smile International, 6435 Tidewater Drive, Norfolk, VA 23509. E-mail: [email protected].