Dr Sinn's "modified lefort 3" Vs. modified lefort 3 that includes the maxilla

[MaxillaHeadroom]

I noticed today that there are two very popular types of modified lefort 3 on looksmaxing forums.

[1]
Lefort 3 without the nasal bridge, and without the maxilla. Maybe that's similar to a zygomatic osteotomy. I'm not too familiar with facial bone structure.

I know that Dr Sinn does this. He moves each side separately and can achieve lateral rotational movement of a few mm.

[2]
Lefort 3 without the nasal bridge, with the maxilla. I think the entire midface + maxilla is moved as a single unit.
Here's how it looks:

I suspect that this is more dangerous than the one that Dr Sinn does. Maybe it gets closer to the nasal passage or comes with other risks.


I know of no surgeon in the US who do the 2nd version that includes the maxilla, for cosmetic purposes on normal people. If you know of any, I'd be curious.

I know that Dr Sinn also does bimax surgery. So he can bring the whole face forward excluding the nasal bridge with his "Lefort 3" plus bimax. Is there any advantage of one over the other?

 

[needsolution]

Dr. Sinn is old fart which can ruin ur face compeletly.

 

[MaxillaHeadroom]

Dr. Sinn is old fart which can ruin ur face compeletly.

Ok.

If someone wanted to move their entire face forward besides nasal bridge, what would be the best approach?

 

[needsolution]

Ok.

If someone wanted to move their entire face forward besides nasal bridge, what would be the best approach?

may be midface implants?

 

[MaxillaHeadroom]

may be midface implants?

I'd keep that option in mind in case I find there's no viable way to actually move the midface.

I mentioned Dr. Sinn because I feel like his "modified lefort 3" is popular and probably not as good as one that includes the maxilla, for someone who has maxillary deficiency. If you wanted to move both the maxilla and the midface, minus the nasal bridge, forward an equal distance, then the 2nd type that moves everything as a single unit would probably produce a better result. It would be riskier too. Even if you wanted to move the maxilla a bit more, it seems like it would still be better by moving everything at once, then doing a second lefort 1 osteotomy to move the maxilla forward some more.

Perhaps another option would be a zygomatic osteotomy combined with a high lefort 1.

 

[Deleted member 3962]

dont get a MLF3.

 

[Deleted member 1862]

Dr. Sinn is old fart which can ruin ur face compeletly.

jfl at thinking Dr. Sinn physically carries out the surgery himself

 

[MaxillaHeadroom]

dont get a MLF3.

I'm starting to wonder why people always talk about modified lefort 3, when it seems a zygomatic osteotomy + high lefort 1 would produce a similar result for most.

jfl at thinking Dr. Sinn physically carries out the surgery himself

Fair. Just for the record I wasn't planning on booking an appointment and flying to Texas. I'm on the other side of the world.

If he's 75, then what's he doing still performing surgeries?

I am kind of wondering if his type of "modified lefort 3" has any advantage over a zygomatic sandwich osteotomy.

 

[Deleted member 3591]

Didn't Sinn have some way of soft tissue manipulation to get better ipd

 

[Phoenix997]

I'd keep that option in mind in case I find there's no viable way to actually move the midface.

I mentioned Dr. Sinn because I feel like his "modified lefort 3" is popular and probably not as good as one that includes the maxilla, for someone who has maxillary deficiency. If you wanted to move both the maxilla and the midface, minus the nasal bridge, forward an equal distance, then the 2nd type that moves everything as a single unit would probably produce a better result. It would be riskier too. Even if you wanted to move the maxilla a bit more, it seems like it would still be better by moving everything at once, then doing a second lefort 1 osteotomy to move the maxilla forward some more.

Perhaps another option would be a zygomatic osteotomy combined with a high lefort 1.

lol old post but I laughed hard reading this.

Saw off your whole frontal skull, move it forward, then saw off an an even smaller piece of the maxilla, move it even more forward. Now crack the mandible... move that forward. Slice the chin and slide it forward. Basically Just have your entire skull crumble to pieces in the operating room.

I get the logic though I guess it could be done.

 

[sloopnoob]

Lefort 3 without the nasal bridge, and without the maxilla. Maybe that's similar to a zygomatic osteotomy. I'm not too familiar with facial bone structure.

That would be just malarplasty i guess

 

[Deleted member 14262]

dont get a MLF3.

why not?

 

[kilgrave]

Will actually be going to Sinn on Monday for a consultation, and can ask OP's original question if anyone still cares.

 

[AtlasTH]

Will actually be going to Sinn on Monday for a consultation, and can ask OP's original question if anyone still cares.

ur not getting lefort

 

[bossman]

ml3 is just moving zygo/undereye area. lefort 3 moves whole maxilla bone. you almost certainly don't need the latter

 

[Deleted member 3828]

I noticed today that there are two very popular types of modified lefort 3 on looksmaxing forums.

[1]
Lefort 3 without the nasal bridge, and without the maxilla. Maybe that's similar to a zygomatic osteotomy. I'm not too familiar with facial bone structure.

I know that Dr Sinn does this. He moves each side separately and can achieve lateral rotational movement of a few mm.

[2]
Lefort 3 without the nasal bridge, with the maxilla. I think the entire midface + maxilla is moved as a single unit.
Here's how it looks: View attachment 320147
I suspect that this is more dangerous than the one that Dr Sinn does. Maybe it gets closer to the nasal passage or comes with other risks.


I know of no surgeon in the US who do the 2nd version that includes the maxilla, for cosmetic purposes on normal people. If you know of any, I'd be curious.

I know that Dr Sinn also does bimax surgery. So he can bring the whole face forward excluding the nasal bridge with his "Lefort 3" plus bimax. Is there any advantage of one over the other?

all thx to Dr Johnny Sinn

 

[kilgrave]

ur not getting lefort

News to me...that's what the consultation is regarding.

 

[kilgrave]

I asked him. He said he can advance the malar region at the same time as doing Bimax (which he presented as three cuts on a skull model), and added that some people prefered it all in one go to save money.

However, he emphasized it would take him all day, and that in his experience most people are happier when he avances this area in a separate procedure. If doing it all in one go, he doesn't make the cuts as high.