what more should i get to reach htn ? (money isnt a problem)
You need also a canthoplasty cuz you have negative canthal tilt+blepharoplasty for the UEE and oroplasty for your ears.good luck
Otoplasty* my bad.You're welcome bro
Ideally you want lefort 2 (ccw rotation), and then jaw surgery with ccw but depends entirely on how they advance the maxilla+nasion. Then genio. And finally you go for rhino and and infras+ supras.
Your instincts are good. This is a comprehensive approach. Rhinoplasty after bimax because of nasal soft tissues changes.
How severe is your underbite in millimeters?
Who’s going to perform this on him in a developed country?
High level LeForts are overwhelmingly performed on syndromic patients.
if i remember correctly from my last visit to the ortho , it was around 5 mms
That would be classed as moderate.
100k just for lf 2 ??
He wouldn’t. I have a 7mm underbite and every single surgeon I’ve seen so far has told me I’m not a candidate.
yeah ill try to , the biggest problem is that the inssurance companies in my country are shit so itll be tough trying to get anything out of them
Yes. It’s far more invasive than a standard bimax and surgeons demand far more. At least in a developed country.
You’ll never get LF2 with a 5mm underbite on insurance or even privately without fuck you money.
yeah thats what i was thinking too , underbites arent really covered
DAMNN okay i bet a whole skull transplant would be better atp JFL
I live in a country with a socialized healthcare system and they told me I wasn’t even a functional case with a 7mm underbite.
would you recommend i do it till i turn 20 tho ? cause ive been told the mandibles growth stops at around that age and i dont want to get an underbite again after i spend so much on the surgery
oh wow did you do the surgery anyway or did you just not do it ?
Yes wait until your jaw growth finishes and get bimax + implants.
okay can i pm you btw bro?
Sure
Get lefort 2 and 1 combined.there is no single surgery to if maxilla is not grown properly it should be combined
can you elaborate more on that ?
I’m being realistic with OP.
You can technically have bimax combined with a high level Lefort osteotemy.
which implants are you reffering to ?
When maxilla doesnt grow properly there can be defects in any part of the face for some it maybe orbitals for some it maybe midface for some it maybe just lower third and for some it maybe both in that case lefort1 and 2 should be combined
Its not possible to rotate much with lf2 alone as there are many nerves
yeah for me its defo both , but at the same time where would i find a good surgeon to operate on me ?
For this reason, surgeons who perform high level LeForts often combine it with orthognathic surgery to get the optimal occlusal plane and bite.
You’re highly unlikely to find any surgeon who will do LF2 with a 5 mm underbite. I’d forget it.
yeah as i asked earlier which implants exactly ?
Infraorbital rim implants + paranasal
Lefort
yep sounds good to me thanks for all the advice youve been a great help
He will need chin reduction most likely. I'm not sure if his chin is the problem though because his philtrum is extremely short.
I meant trimax.
Otoplasty
Dont forget that my nose is also extremely bulbous and kind of crooked so it makes my philtrum look smaller , so ill go with the bimax and rhino first and if the chin still causes isssues ill go with genio
that will be probably the last surgery ill get . Gotta fix the face first
lefort 3 bro are you serious… no doctor would ever agree on doing this on him ever u have no clue
