Objectives: Wide range of surgical approaches, both conservative and surgical techniques for the correction of VPI have been described in the literature. Broadly classified into revision palatoplasty and pharyngoplasty, the surgical methodology changes as per needs. Buccinator myomucosal flap is one such flap that is chiefly used in cases that qualify for correction of VPI by palatal lengthening. By this case series and review, we present the treatment algorithm followed in our centre in deciding the suited treatment modality for the best patient outcomes. Materials and Methods: This article includes retrospective analysis of 12 patients who underwent palatal augmentation in our hospital All the cases presented with VPI after primary palatoplasty. Based on specific patient selection criteria, the selected patients were operated for surgical lengthening of the soft palate using bilateral BMMF. The patient was then assessed and compared to the pre-operative state for betterment. Results: All the twelve patients who underwent VPI surgical correction with the bilateral Buccinator‑based myomucosal flap reported improvement in standard of living and were satisfied with the results. Conclusion: Successful treatment outcomes validate the use of BMMF for of VPI are reliable, reproducible, and leads to great outcomes in the management of VPI.