can bone-borne palatal expanders fix paranasal deficiency or narrow lips?

longjohnmong

longjohnmong

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Or is paranasal deficiency purely from lack of forward projection? Even if it can improve deficiency , I assume segmental Lefort would not. Can bone-borne palatal expanders fix narrow lips? Can segmental Lefort?
 
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mse improved my paranasal but my lips stayed the same
 
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MSE widened my upper lip but the lower didn’t follow.
 
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