Addressing lack of midface volume

Kuros

Kuros

Ghandi's apprentice
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low effort thread

Just a suggestion
If the mid-face is lacking in structure, whether that’s because of a LeFort 1 and you dogmaxxed or genetically recessed, instead of using fillers and fat dissolver on the nasolabial area, you can do alar implant and alar base reduction if needed, which would be almost a must unless you have a small alar base and a big mouth
and that will fix the dogmaxxed appearance of the "Bimax", then everything else to address the other areas is just fat grafts or HA fillers or even implants but at least choose good ones out of PEEK or PEKK.

this is just my take/suggestion, because I haven't seen a lot on alar implants and I believe it could be worth researching, even it gives you +0.5 in the regular 1-10 scale it is worth it even though you can use filler and fat disolver to achieve a similar result it will never be exact and permanent
 
i dont think u need paranasal implants if u get lefort. Its usually lefort + infraorbitals or infraorbitals + paranasals if ur not a bimax candidate
 
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i dont think u need paranasal implants if u get lefort. Its usually lefort + infraorbitals or infraorbitals + paranasals if ur not a bimax candidate
Paranasals and leforte 1 is totally diffrent. But i wouldnt recommend paranasals since its almost never done. So you will be hella of guinea pig in seeing if it looks good or not. Also the lymphatic system drainage here is important to perserve. I have yet too see actual good midface projection results. For now i would say take what leforte gives but its still very diff areas . Leforte 1 is limited
 
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I honestly think paranasal implants aren't really needed in 99% of cases. Whenever you see big flat midface transformations it's always lefort 1 + infra-malar implants and they end up looking pretty good.
 
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