Best fix for recessed upper maxilla

[Looksmax305]

what is the best way to fix a flat upper maxilla/orbitals

 

[Deleted member 399]

The upper midface can be augmented with infraorbital malar implants, but the results aren't great. It needs to be combined with fat removal from the lower region of the cheeks to create the angularity and sharpness of the ogee curve.

 

[Vidyacoper]

lefort 2

 

[Deleted member 5349]

Time travel and teach your 3 year old self how to mew

 

[PubertyMaxxer]

Only Infraorbital-Malar-Maxillary Implants from eppley are a realistic option

 

[Deleted member 399]

lefort 2

None of the Leforts augment the upper midface adequately relative to the lower midface and mandible.

 

[needsolution]

None of the Leforts augment the upper midface adequately relative to the lower midface and mandible.

Good, i have lower third recessed more than upper.

 

[sandcelmuttcel]

None of the Leforts augment the upper midface adequately relative to the lower midface and mandible.

lefort 2 + bsso?

 

[Deleted member 399]

lefort 2 + bsso?

BSSO is for mandible. Lefort is not specially for augmenting the malar region. You're better off doing a reverse L shaped zygomatic osteotomy. They do it in South Korea.

 

[sandcelmuttcel]

BSSO is for mandible. Lefort is not specially for augmenting the malar region. You're better off doing a reverse L shaped zygomatic osteotomy. They do it in South Korea.

you said

None of the Leforts augment the upper midface adequately relative to the lower midface and mandible.

lefort 3 brings all the maxilla including the malar region forward and you can do a bsso to bring the mandible forward aswell.

 

[Deleted member 399]

you said

lefort 3 brings all the maxilla including the malar region forward and you can do a bsso to bring the mandible forward aswell.

You need to compare the amount of anterior projection of the cheekbones with the projection of the maxilla. Say for example, you have a guy with downward maxillary growth with cheekbones. For him, getting a Lefort 3 will improve the zygos but will also bring the frontal section of the maxilla forward, thereby failing to increase zygo prominence with respect to the frontal maxillary region. If your maxilla is forward enough already, you should get an osteotomy of the cheekbones (upper midface) so that they alone can be made more prominent with respect to the rest of the face. If you bring the entire face forward, you don't elevate the cheekbones with respect to the rest of the face.

 

[Deleted member 5393]

Get infraorbital implants

 

[sandcelmuttcel]

You need to compare the amount of anterior projection of the cheekbones with the projection of the maxilla. Say for example, you have a guy with downward maxillary growth with cheekbones. For him, getting a Lefort 3 will improve the zygos but will also bring the frontal section of the maxilla forward, thereby failing to increase zygo prominence with respect to the frontal maxillary region. If your maxilla is forward enough already, you should get an osteotomy of the cheekbones (upper midface) so that they alone can be made more prominent with respect to the rest of the face. If you bring the entire face forward, you don't elevate the cheekbones with respect to the rest of the face.

fair enough. zygo augmentation is also an option.