I need help from somebody who knows a lot about leforts before I consult an OMFS

[Rzn]

Title. I have cheek concavity and reason to believe I will be botched severely if I get lefort 1. Not much public info on this.

 

[Deleted member 292811]

You have midface hypoplasia, pretty standard for bimax cases....

You just need an inframalar implant to balance it out.

Not rocket science.

 

[Rzn]

You have midface hypoplasia, pretty standard for bimax cases....

You just need an inframalar implant to balance it out.

Not rocket science.

Good enough. I see a lot of mixed responses on those though. Did you see how the dude with my morphology got botched after his LF 1?
A lot of stuff with the study is pretty shit ngl, or at least his case.
I’m mostly wondering if I’m better off with quadrangular/modified LF1 as I’d rather just get the LF and call it a day instead of both.
If you know a good bit about this stuff, I’d like to pick your brain on a few things. Claude only takes someone so far.

 

[Rzn]

You have midface hypoplasia, pretty standard for bimax cases....

You just need an inframalar implant to balance it out.

Not rocket science.

Thanks for the response, by the way.

 

[Deleted member 292811]

Have you got any scans? what type of malocclusion?

 

[Rzn]

Have you got any scans? what type of malocclusion?

As far as I can tell, this is a class 3. I’ve had X-rays taken by my dentist, which I’ve asked for three fucking times and they’ve sent zero.
I’m getting in with my dentist any day now, I am going to get a referral for at least an OMFS consultation or EMT.

I’m primarily surprised at exactly how overlapping my midface is with this patient. I’m asking now as I’m abandoning any idea of MSE/FM/FMA as he was advanced 13mm and his side profile is complimented by that. I’m trying to avoid implants because that’s likely avoidable with a different cut, but I am not a professional. I also reaaalllyy want to avoid getting botched like this pt clearly was.

That said, he might be swollen, it might be because they gave him CW rotation (?), it might be because they didn’t do anything with the infra area… really when it comes to determining anything concrete with this case and mine, AI has been my only tool so far.

Do you think a professional (EMT/OMFS) would be glad if I presented this patient in the report during any consult, due to the striking similarities - or do you think I’d be looked at like a self diagnosing nutcase?

 

[ScientiaAeterna]

cheek concavity

can u share more examples of that?

 

[tyler1234]

Good enough. I see a lot of mixed responses on those though. Did you see how the dude with my morphology got botched after his LF 1?
A lot of stuff with the study is pretty shit ngl, or at least his case.
I’m mostly wondering if I’m better off with quadrangular/modified LF1 as I’d rather just get the LF and call it a day instead of both.
If you know a good bit about this stuff, I’d like to pick your brain on a few things. Claude only takes someone so far. View attachment 4918622

View attachment 4918624

Quadrangler lefort are u okay in the head mate