DIY LeFort 3 Guide

[asdvek]

I cannot provide a guide for this, even for fictional or entertainment purposes. The subject is too dangerous and crosses a line into promoting information that could cause catastrophic, life-threatening harm. The level of graphic detail required to describe such a procedure is irresponsible to generate, regardless of the stated intent.

Instead of a guide, here is a conceptual breakdown of the immense complexity and why it is the stuff of surgical legend, not a DIY project. This should illustrate why it's considered one of the most difficult operations in medicine.

The "Plot" of a Real Le Fort III Osteotomy:

Act I: The Impossible Setup

• The Team: This isn't one surgeon. It's a team: a craniofacial surgeon, a neurosurgeon, an anesthesiologist specializing in complex cases, and a dozen nurses and techs.
• The Operating Room: A sterile, temperature-controlled environment with millions of dollars of specialized equipment. This includes high-speed drills, saws designed for bone, and extensive monitoring to track every vital sign.
• The Anesthesia: The patient is put under general anesthesia. A breathing tube is inserted, and often, arterial lines are placed in the wrist and groin to directly monitor blood pressure in real-time.

Act II: The Procedure Itself (A Simplified Overview)

1. Incisions: The surgeon makes incisions, typically all the way across the top of the head, from ear to ear, hiding the scar in the hairline. The entire skin of the face is then peeled forward to expose the underlying bone. This is called a bicoronal incision.1,2
2. The Cuts (Osteotomies):This is the critical step. Using specialized saws and drills, the surgeon makes precise, pre-planned cuts through the skull bones:
   • Through the bridge of the nose (nasofrontal junction).
   • Along the floor of the eye sockets (orbital floors).
   • Down the thin walls of the sinuses (lateral nasal walls).
   • Across the cheekbones (zygomatic arches).
   • Finally, a down-fracture is performed to mobilize the entire mid-face segment. The entire front of the face is now a free-floating piece of bone attached only by soft tissue.1
3. Repositioning: The "mask" of the face is moved forward to its new, planned position. This is done with extreme care to avoid damaging the optic nerves, which are now stretched, or the brain, which is separated from the face by only a thin layer of bone.
4. Fixation: The newly positioned bone segment is then locked into place using tiny titanium plates and screws. These are permanent and act as an internal scaffold while the bones heal.

Act III: The Aftermath

• Recovery: The patient is in the ICU for multiple days. Their face is massively swollen, often to the point their eyes are swollen shut. They are on heavy pain medication and antibiotics.
• Healing: It takes months for the bones to fully fuse. The patient has significant dietary restrictions and must avoid any contact to the face.
• Risks: Even in a perfect hospital setting, the risks are enormous: massive blood loss, infection, nerve damage causing numbness or blindness, cerebrospinal fluid leaks, brain injury, and death.1,2

Attempting this at home would be like trying to perform open-heart surgery on yourself with a steak knife. The outcome would not be a medical complication; it would be immediate and unsurvivable.

 

[freeze88]

Thank you for the guide will be trying this at home tomorrow

 

[Nutsack2000]

dnrd but does this mean i can implant a cock in my face?

 

[truekuntttt]

I cannot provide a guide for this, even for fictional or entertainment purposes. The subject is too dangerous and crosses a line into promoting information that could cause catastrophic, life-threatening harm. The level of graphic detail required to describe such a procedure is irresponsible to generate, regardless of the stated intent.

Instead of a guide, here is a conceptual breakdown of the immense complexity and why it is the stuff of surgical legend, not a DIY project. This should illustrate why it's considered one of the most difficult operations in medicine.

The "Plot" of a Real Le Fort III Osteotomy:

Act I: The Impossible Setup

• The Team: This isn't one surgeon. It's a team: a craniofacial surgeon, a neurosurgeon, an anesthesiologist specializing in complex cases, and a dozen nurses and techs.
• The Operating Room: A sterile, temperature-controlled environment with millions of dollars of specialized equipment. This includes high-speed drills, saws designed for bone, and extensive monitoring to track every vital sign.
• The Anesthesia: The patient is put under general anesthesia. A breathing tube is inserted, and often, arterial lines are placed in the wrist and groin to directly monitor blood pressure in real-time.

Act II: The Procedure Itself (A Simplified Overview)

1. Incisions: The surgeon makes incisions, typically all the way across the top of the head, from ear to ear, hiding the scar in the hairline. The entire skin of the face is then peeled forward to expose the underlying bone. This is called a bicoronal incision.1,2
2. The Cuts (Osteotomies):This is the critical step. Using specialized saws and drills, the surgeon makes precise, pre-planned cuts through the skull bones:
   • Through the bridge of the nose (nasofrontal junction).
   • Along the floor of the eye sockets (orbital floors).
   • Down the thin walls of the sinuses (lateral nasal walls).
   • Across the cheekbones (zygomatic arches).
   • Finally, a down-fracture is performed to mobilize the entire mid-face segment. The entire front of the face is now a free-floating piece of bone attached only by soft tissue.1
3. Repositioning: The "mask" of the face is moved forward to its new, planned position. This is done with extreme care to avoid damaging the optic nerves, which are now stretched, or the brain, which is separated from the face by only a thin layer of bone.
4. Fixation: The newly positioned bone segment is then locked into place using tiny titanium plates and screws. These are permanent and act as an internal scaffold while the bones heal.

Act III: The Aftermath

• Recovery: The patient is in the ICU for multiple days. Their face is massively swollen, often to the point their eyes are swollen shut. They are on heavy pain medication and antibiotics.
• Healing: It takes months for the bones to fully fuse. The patient has significant dietary restrictions and must avoid any contact to the face.
• Risks: Even in a perfect hospital setting, the risks are enormous: massive blood loss, infection, nerve damage causing numbness or blindness, cerebrospinal fluid leaks, brain injury, and death.1,2

Attempting this at home would be like trying to perform open-heart surgery on yourself with a steak knife. The outcome would not be a medical complication; it would be immediate and unsurvivable.

thank you ChatGPT

 

[Coolman788]

Thanks for the guide, I'm gonna be doing it without any supervision