Is it possible to get a quadrangular or high cut Lefort 1 for cosmetic reasons?

[bilasnk1]

Would any good surgeons actually perform this purely for aesthetics, or is a standard lf1 the only option?

 

[bilasnk1]

bump

 

[Gittes]

Would any good surgeons actually perform this purely for aesthetics, or is a standard lf1 the only option?

Yes, you can get it for cosmetic reasons.
Some surgeons argue the result isn’t very aesthetic though.

 

[bilasnk1]

Yes, you can get it for cosmetic reasons.
Some surgeons argue the result isn’t very aesthetic though.

i have a recessed paranasal area so a standard lf1 wouldnt work for that, i would also be getting infra implants so i think the result would be good

 

[Gittes]

i have a recessed paranasal area so a standard lf1 wouldnt work for that, i would also be getting infra implants so i think the result would be good

No, you can’t get Quadrangular + infraorbital implants because the plates fixating the advancement will be too high up the maxilla.

 

[bilasnk1]

No, you can’t get Quadrangular + infra orbital implants because the plates fixating the advancement will be too high up the maxilla.

oh i see, would it even be needed tho? fat grafting would probably be good enough unless giga recessed right

 

[Gittes]

oh i see, would it even be needed tho?

That was what a surgeon told me during consultation. I suppose it would be possible to get the plates removed post op, then get infraorbital implants.

fat grafting would probably be good enough unless giga recessed right

Alternatively, you could get an intermediate cut which advances the paranasal area and wouldn’t prevent you from getting infraorbital rim implants at the same time.

 

[bilasnk1]

That was what a surgeon told me during consultation. I suppose it would be possible to get the plates removed post op, then get infraorbital implants.

Alternatively, you could get an intermediate cut which advances the paranasal area and wouldn’t prevent you from getting infraorbital rim implants at the same time.

yeah might do that i guess ill just have to consult. I thought it was hard to find a surgeon to perform this tho

 

[Gittes]

yeah might do that i guess ill just have to consult. I thought it was hard to find a surgeon to perform this tho

It’s less common but there are definitely surgeons who do it. I raised it with a couple but they told me it wasn’t necessarily desirable to have more fullness beyond the jaws and that you want lateral not anterior projection of the cheekbones as a guy.

 

[monecel]

what about that modified lefort 2 that only moves the nose and the maxilla instead of the orbits?

 

[bilasnk1]

what about that modified lefort 2 that only moves the nose and the maxilla instead of the orbits?

it would probably be even harder to find a surgeon to perform this, but i think ik what ur talking about

 

[Gittes]

what about that modified lefort 2 that only moves the nose and the maxilla instead of the orbits?

Rare procedure and the results can be largely replicated with bimax + implants without the risk of cutting into the orbits.

 

[Gittes]

what about that modified lefort 2 that only moves the nose and the maxilla instead of the orbits?

Modified LeFort 2 mobilizes part of the orbital floor, not the nasal cavity:

Here's a result:

 

[kingofkings]

Modified LeFort 2 mobilizes part of the orbital floor, not the nasal cavity:


View attachment 5545555

Here's a result:

View attachment 5545559View attachment 5545561

He's prob referring to the latest cosmetic LF2 Giant case (tylin)

 

[Gittes]

He's prob referring to the latest cosmetic LF2 Giant case (tylin)

View attachment 5545743

What happened to that guy? Last thing I heard he privated his account after promising to be the first publicly documented LF2 case.

 

[kdl1721]

You could do that,Pagnoni does it.but there’s a catch: either you place the incision slightly higher than a standard Le Fort, or you perform a quadrangular Le Fort II that includes the infraorbital areas. Otherwise, the aesthetic result isn't really good, and you might end up with a bloated look between the infraorbital region and your cheekbones.there would be a step difference.Especially with the quadrangular Le Fort I meaning the type that doesn't fully encompass the infraorbital regions I don't think it yields an aesthetic result.A high projection infraorbital implant will be required in that case.

 

[bilasnk1]

You could do that,Pagnoni does it.but there’s a catch: either you place the incision slightly higher than a standard Le Fort, or you perform a quadrangular Le Fort II that includes the infraorbital areas. Otherwise, the aesthetic result isn't really good, and you might end up with a bloated look between the infraorbital region and your cheekbones.there would be a step difference.Especially with the quadrangular Le Fort I meaning the type that doesn't fully encompass the infraorbital regions I don't think it yields an aesthetic result.A high projection infraorbital implant will be required in that case.

yeah i mean i was thinking of getting infra implant too but idk, if i could get a quad lefort 2 i think that would be even better, do you have a pic of what the cut would look like btw?

 

[Gittes]

You could do that,Pagnoni does it.but there’s a catch: either you place the incision slightly higher than a standard Le Fort, or you perform a quadrangular Le Fort II that includes the infraorbital areas. Otherwise, the aesthetic result isn't really good, and you might end up with a bloated look between the infraorbital region and your cheekbones.there would be a step difference.Especially with the quadrangular Le Fort I meaning the type that doesn't fully encompass the infraorbital regions I don't think it yields an aesthetic result.A high projection infraorbital implant will be required in that case.

What would be the point of getting Quad 2 when you can be pretty much replicate it with a higher cut LF1 + infraorbital rim implants without cutting into orbitals?

yeah i mean i was thinking of getting infra implant too but idk, if i could get a quad lefort 2 i think that would be even better, do you have a pic of what the cut would look like btw?

Here's Quad 2 before and after. The change was negligible tbh - at least from the front.

 

[Animepilled]

Modified LeFort 2 mobilizes part of the orbital floor, not the nasal cavity:


View attachment 5545555

Here's a result:

View attachment 5545559View attachment 5545561

from invisible normie to invisible normie. projection is cope. its all about front ratios

 

[Gittes]

from invisible normie to invisible normie. projection is cope. its all about front ratios

Cutting up your midface and bringing it forward 5 mm is obviously not going to make you good looking. That being said, I do think forward growth is important up to a point but it's obviously been overstated to an absurd degree on here.