High Cut Lefort 1

[depressionmaxxing]

Im trying to get a high cut lefort 1, there‘s barely any info on this forum about it and its rarely ever done from surgeons.

Anyone knows how the cut is made and what variations exist? How does it effect CCW/CW rotation of the occlusal plane?

What can you expect from it and how should one imagine the advancement?

Does it effect/advance an recessed midface and nose area. how would it change those?

Pictures or visualisation? Any actual successful cases?

What are the cons or dangers of a high cut lefort 1? Why are they not a norm and why do surgeons refuse to do them???

ANYONE KNOW ANYTHING ABOUT IT??

 

[bishōnenmaxxer]

I'm too retarded to understand this but mirin the detailed contribution

bumpo sexo

 

[longjohnmong]

I've wondered this myself because if you rotate it CCW it seems like it would make paranasal recession worse.

Last pic is quadrilateral Lefort 2, I believe.

 

[Deleted member 29724]

That is not high cut lefort 1 that's way past lefort 1 area but trust me im right because im a looksmax user

 

[Deleted member 1901]

I'm too retarded to understand this but mirin the detailed contribution

bumpo sexo

Same. I was wanting high-cut lefort 1 I wonder why it’s not common if it’s superior in most cases.

 

[depressionmaxxing]

Same. I was wanting high-cut lefort 1 I wonder why it’s not common if it’s superior in most cases.

pocketdentistry says it: „However, it entails certain technical difficulties because of the high osteotomy line and has disadvantages in relation to the correction of asymmetry and changing of the occlusal plane.“
-> meaning CWW/CW is harder to perform, and you cannot shift the maxilla as conveniently to change/fix asymmetry (i interpretated this, could be wrong)

Look at the two cases: modified quadrangular lefort 1 mogs so hard, midface changes are real


source:
https://pocketdentistry.com/soft-ti...er-modified-quadrangular-le-fort-i-osteotomy/

 

[king_of_recession]

Only LF3 can save me

 

[depressionmaxxing]

@RealSurgerymax @Oxygen @Fulgrim @ItsOver999 @lelouch

 

[Deleted member 29401]

its over for you if ur last resort is lefort

 

[FutureSlayer]

its over for you if ur last resort is lefort

bullshit

 

[FutureSlayer]

similar outcome with standard lefort 1 cut and paranasals without further risks imo

 

[depressionmaxxing]

similar outcome with standard lefort 1 cut and paranasals without further risks imo

pocketdentistry says it: „However, it entails certain technical difficulties because of the high osteotomy line and has disadvantages in relation to the correction of asymmetry and changing of the occlusal plane.“
-> meaning CWW/CW is harder to perform, and you cannot shift the maxilla as conveniently to change/fix asymmetry (i interpretated this, could be wrong)

Look at the two cases: modified quadrangular lefort 1 mogs so hard, midface changes are real


source:
https://pocketdentistry.com/soft-ti...er-modified-quadrangular-le-fort-i-osteotomy/

similar?

 

[RealSurgerymax]

Only LF3 can save me

Then only Giant Implants can save you

@RealSurgerymax @Oxygen @Fulgrim @ItsOver999 @lelouch

High Wing LF1 has some good results (called quadrangular here)
Plan on needing a rhinoplasty after

 

[FutureSlayer]

similar?

I meant paired with paranasal implants

 

[lelouch]

"High cut" lefort 1 is a few mm higher, but has a much bigger increase of risks compared to lefort 1, it's better to consult with a top surgeon and ask if it's a viable option but for most most people it is not

 

[depressionmaxxing]

"High cut" lefort 1 is a few mm higher, but has a much bigger increase of risks compared to lefort 1, it's better to consult with a top surgeon and ask if it's a viable option but for most most people it is not

exactly. thanks for the answer

somebody really should do a guide on explaining jaw surgery

 

[longjohnmong]

Look at the two cases: modified quadrangular lefort 1 mogs so hard, midface changes are real


source:
https://pocketdentistry.com/soft-ti...er-modified-quadrangular-le-fort-i-osteotomy/

Not really a fair comparison since A had a way shittier lower maxilla.

 

[longjohnmong]

Then only Giant Implants can save you
View attachment 2258682

Then only Giant Implants can save you
View attachment 2258682

High Wing LF1 has some good results (called quadrangular here)
Plan on needing a rhinoplasty after

High Wing LF1 has some good results (called quadrangular here)
Plan on needing a rhinoplasty after

When are you opening?

 

[HighClassMaxing]

its over for you if ur last resort is lefort

Cut my face into pieces
This is my last lefort

 

[reptiles]

Then only Giant Implants can save you
View attachment 2258682

High Wing LF1 has some good results (called quadrangular here)
Plan on needing a rhinoplasty after

Why do surgeons pussy out on lefort 3 also I want to go to you but Iack money currently in the wage cuck stage

 

[depressionmaxxing]

Why do surgeons pussy out on lefort 3 also I want to go to you but Iack money currently in the wage cuck stage

you‘re crazy if you blame surgeons for refusing to do lefort 3 on healthy patients

 

[reptiles]

you‘re crazy if you blame surgeons for refusing to do lefort 3 on healthy patients

Bro I don't care I should be dead already this atleast gives a fighting chance

 

[depressionmaxxing]

Bro I don't care I should be dead already this atleast gives a fighting chance

if lefort 3 is your „fighting chance“ consider your fight to be over because it never began

 

[reptiles]

if lefort 3 is your „fighting chance“ consider your fight to be over because it never began

Yeah it is quite literally it is the only non cope on this earth

 

[BrownEyesWD]

Im trying to get a high cut lefort 1, there‘s barely any info on this forum about it and its rarely ever done from surgeons.

Anyone knows how the cut is made and what variations exist? How does it effect CCW/CW rotation of the occlusal plane?

What can you expect from it and how should one imagine the advancement?

Does it effect/advance an recessed midface and nose area. how would it change those?

Pictures or visualisation? Any actual successful cases?

What are the cons or dangers of a high cut lefort 1? Why are they not a norm and why do surgeons refuse to do them???

ANYONE KNOW ANYTHING ABOUT IT??

I’m actually getting a high cut lefort 1, I believe mine is 1cm higher than normal when I asked my surgeon.

 

[depressionmaxxing]

I’m actually getting a high cut lefort 1, I believe mine is 1cm higher than normal when I asked my surgeon.

show morph, are you class 2? asymmetric? please describe your case

 

[depressionmaxxing]

Quadrangular Lefort 1 refers to one of the few methods or cuts designed by surgeons over the years that consist of a lefort 1 with a higher cut:
View attachment 2275487

Personally I don't think a normal lefort with a higher cut than normal qualifies, since it doesn't address the paranasal area as much as high cut does.

Well, if you want an answer, it is just one of those obscure lefort variations performed by the likes of Dr.Keller. There are some before afters that took place a few decades ago:
View attachment 2275490View attachment 2275492
View attachment 2275493

It is better than a normal lefort 1 in terms of harmony for sure, but you can see how it is still deeply flawed. A big movement brings the paranasal area forward unproportionally, while leaving the upper area (zygos) completely behind.

It is more invasive and CCW is way harder to do with this far as I'm aware. The problem is if you find a doctor that does it, the movement most likely will be minimal. This is a recent before/after from reddit I've found:

View attachment 2275500
View attachment 2275503

Surprisingly his guy could do CCW with it. but yea, as you see, it's a slight movement and doesn't truly address midface deficiency

thank you!

so regular lf1 with implants is the way ig.
do you know if ccw can be performed on asymmetric/shiftet jaw patients? An orthodontist told me they‘d rather rotate it linear than ccw because my asymmetry makes it impossible and it would be unstable.

I‘ve heard that ccw does effect tmj‘s tho, and would make it worse for me.

what are your thoughts?

 

[depressionmaxxing]

I mean it's still better than lf1
High cut + implants should be miles better (long as you get significant movement and some CCW)

about that, it should be possible, but ask an individual surgeon not a forum

just make sure you know the root of your asymmetry
For some people, it's a result of a deeper postural imbalance (Cranial torsion)
I would make sure to look into that before cutting and plating ur maxilla

w greycel. will look into it

im trying to get as much ccw as possible, high cut doesnt allow as much and is rarely done so there‘s that

 

[BrownEyesWD]

show morph, are you class 2? asymmetric? please describe your case

I am class 3 short face no asymmetry, the cut is right next to the nerve I’m pretty sure.

 

[depressionmaxxing]

I am class 3 short face no asymmetry, the cut is right next to the nerve I’m pretty sure.

makes sense then

 

[SeriousAscension]

So the only non-cope for midface deficiency is Le Fort 3 what you will never get or MSE with Facemask for 1 degree CCW and doing that multiple times.

 

[depressionmaxxing]

So the only non-cope for midface deficiency is Le Fort 3 what you will never get or MSE with Facemask for 1 degree CCW and doing that multiple times.

what about lf1 + implants

 

[Deleted member 23391]

it's so hard finding a surgeon willing to do high cut lefort, seems tricky as CCW movement is limited

 

[jdz6777]

Then only Giant Implants can save you
View attachment 2258682

High Wing LF1 has some good results (called quadrangular here)
Plan on needing a rhinoplasty after

what r ur thoughts on high cut lefort 1? not quadrangular

i see some ppl say it messes with ur cheekbones/zygos/ogee curve and makes them look non existent.

 

[depressionmaxxing]

what r ur thoughts on high cut lefort 1? not quadrangular

i see some ppl say it messes with ur cheekbones/zygos/ogee curve and makes them look non existent.

it‘s the same as lf1 just slightly higher to have some of the midface included. How does it effect your zygos at all