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Complete Bone Surgery Guide
Everything you need to know about fixing facial bones surgically
Bones covered in this guide:
1. Maxilla (Recessed Maxilla)
1. Le Fort I Osteotomy
2. Distraction Osteogenesis
3. Le Fort II / Le Fort III
2. Brow Ridge (Recessed)
1. Custom Alloplastic / Silicone Implants
2. Hydroxyapatite
3. Fat Grafting
3. Orbitals
Infraorbital (Lower)
1. Custom PEEK Malar / Infraorbital Rim Implants
2. Infraorbital Rim Osteotomy
Supraorbital (Upper)
1. Custom PEEK Supraorbital Implants
4. Ramus
1. BSSO (Bilateral Sagittal Split Osteotomy)
2. Mandibular Distraction Osteogenesis (MDO)
5. Mandible
1. BSSO
6. Nose
1. Septorhinoplasty
2. Rhinoplasty
7. Chin
1. Sliding Genioplasty
2. Custom PEEK / Silicone Chin Implants
8. Zygomas
1. Custom PEEK Zygomatic-Malar Implants
2. Bone Shaving + Higher Placement Implants
9. Teeth
1. Orthodontic-Orthognathic Combined Therapy
2. Full-Arch Dental Implants
10. Skull
Not realistically fixable with current elective procedures.
Thanks for reading.
Code:
Complete Bone Surgery Guide
Everything you need to know about fixing facial bones surgically
Bones covered in this guide:
- Maxilla
- Brow ridge
- Orbitals (upper & lower)
- Ramus
- Mandible
- Nose
- Chin
- Zygomas
- Teeth
- Skull
1. Maxilla (Recessed Maxilla)
1. Le Fort I Osteotomy
- Advancement: 5–10 mm | Creates proper bite + upper lip support + slight nasal tip lift
- Botch rate: \~3–6% | Most common and reliable maxilla advancement
2. Distraction Osteogenesis
- Advancement: 10–20 mm | Best for severe recession
- Botch rate: \~6–12% | Lower necrosis risk due to gradual expansion
3. Le Fort II / Le Fort III
- Advancement: 8–20 mm | Usually only for under 9 y/o with severe deformity
- Botch rate: \~8–15% | Fixes severe exorbitism + improves airway
2. Brow Ridge (Recessed)
1. Custom Alloplastic / Silicone Implants
- Projection: 4–8 mm | Strong bone-anchored result
- Botch rate: \~5–10% | Most popular option
2. Hydroxyapatite
- Projection: 2–5 mm | Weaker than solid implants
- Botch rate: \~6–11% | More “natural” but less dramatic
3. Fat Grafting
- Projection: 1–3 mm | Only for mild cases
- Botch rate: \~10–20% (high resorption) | Unpredictable long-term
3. Orbitals
Infraorbital (Lower)
1. Custom PEEK Malar / Infraorbital Rim Implants
- Projection: 3–6 mm | Good for negative vector
- Botch rate: \~7–13%
2. Infraorbital Rim Osteotomy
- Moves bone 4–7 mm forward | Structurally superior to implants
- Botch rate: \~8–14%
Supraorbital (Upper)
1. Custom PEEK Supraorbital Implants
- Projection: 4–8 mm | Helps reduce upper eyelid exposure (UEE)
- Botch rate: \~6–12%
4. Ramus
1. BSSO (Bilateral Sagittal Split Osteotomy)
- Vertical gain: 6–12 mm | Best overall option for short ramus
- Botch rate: \~5–11%
2. Mandibular Distraction Osteogenesis (MDO)
- Vertical gain: 15–25 mm | Only for extreme cases
- Botch rate: \~8–15% | Longer treatment time
5. Mandible
1. BSSO
- Forward projection: 6–12 mm | Gold standard for mandibular advancement
- Botch rate: \~5–11%
6. Nose
1. Septorhinoplasty
- Best for crooked nose | Straightens both form and function
- Botch rate: \~6–14% (highly surgeon-dependent)
2. Rhinoplasty
- General reshaping | Results depend heavily on surgeon skill
- Botch rate: \~7–15%
7. Chin
1. Sliding Genioplasty
- Projection: 4–12 mm | Gold standard | Can fix recession, length, and asymmetry
- Botch rate: \~4–9%
2. Custom PEEK / Silicone Chin Implants
- Projection: 3–8 mm | Best for pure horizontal recession
- Botch rate: \~5–10%
8. Zygomas
1. Custom PEEK Zygomatic-Malar Implants
- Projection: 3–6 mm per side | Best for flat zygomas
- Botch rate: \~6–12%
2. Bone Shaving + Higher Placement Implants
- Shave low zygoma then place implants higher | More complex approach
- Botch rate: \~8–14%
9. Teeth
1. Orthodontic-Orthognathic Combined Therapy
- Braces + jaw surgery | Fixes bite when bones are the real problem
- Botch rate: \~5–10% (combined approach)
2. Full-Arch Dental Implants
- Best when teeth are beyond saving | Restores strong chewing function
- Botch rate: \~4–9%
10. Skull
Not realistically fixable with current elective procedures.
Thanks for reading.
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