Le Fort ii ( LF2 ) vs High Cut Le Fort i ( HLF1 ) vs Le fort i ( LF1 ) functional benefits

[smallgromp123]

Aesthetic side of these procedures are frequently discussed on the org; however, the functional benefits are often ignored.

Does LF2 (narrow cut) give a more nose breathing ability? If so, is it significantly better than compared to HLF1 or regular LF1?

We all know that better bone structure often equals better health. But for a patient choosing between LF2 or HLF1 for example, which one would be the most viable option, considering all other factors (recovery, risk, cost). In other words, what would the risk/benefit curve look like if we add in the functional benefits to the equation.

What other health benefits can come from higher level osteotomies? I wonder if any users have noticed functional improvements in areas besides nose breathing, for example: balance, eyesight, hearing ability, etc.



Le fort 2 (narrow cut)

vs high cut le fort 1

vs le fort 1

 

[monecel]

If you get LF2 just get the full cut

 

[Deleted member 91663]

Aesthetic side of these procedures are frequently discussed on the org; however, the functional benefits are often ignored.

Does LF2 (narrow cut) give a more nose breathing ability? If so, is it significantly better than compared to HLF1 or regular LF1?

We all know that better bone structure often equals better health. But for a patient choosing between LF2 or HLF1 for example, which one would be the most viable option, considering all other factors (recovery, risk, cost). In other words, what would the risk/benefit curve look like if we add in the functional benefits to the equation.

What other health benefits can come from higher level osteotomies? I wonder if any users have noticed functional improvements in areas besides nose breathing, for example: balance, eyesight, hearing ability, etc.



Le fort 2 (narrow cut)

vs high cut le fort 1 View attachment 3790737 vs le fort 1 View attachment 3790742

Who’s going to perform LeFort 2 on you?

The Quadrangular LeFort 2 (which leaves the nose behind) and you show in your diagrams is underwhelming and can be replicated with implants.

 

[Deleted member 91663]

If you get LF2 just get the full cut
View attachment 3792231

Easier said than done. Quad LeFort 2 is lackluster though.

 

[smallgromp123]

Who’s going to perform LeFort 2 on you?

The Quadrangular LeFort 2 (which leaves the nose behind) and you show in your diagrams is underwhelming and can be replicated with implants.

Giant + Celal (?) for lf2

If you mean
HLF1 (black and white diagram B) by Quadrangular le fort 2, then I would kinda disagree, one would rather go for the osteotomy instead of implants. In most cases it's beneficial to bring the paranasal area forward during the lf1 cut. Don't see a reason why you wouldn't go for it.

Here's some good ones (I think they're both HLF1)

 

[Deleted member 44380]

I wonder if any users have noticed functional improvements in areas besides nose breathing, for example: balance, eyesight, hearing ability, etc.

You probably wont find many users here with lefort experience so i would poke up some old medical books

 

[smallgromp123]

You probably wont find many users here with lefort experience so i would poke up some old medical books

You're probably right, but nonetheless, I still wanted to raise this topic. I know that the forum's name is looksmax and not functionmax but there was not even 1 post which discussed differences in functional benefits from these procedures. Maybe someone in the future will find the discussion and shed some light

 

[Deleted member 91663]

Giant + Celal (?) for lf2

If you mean
HLF1 (black and white diagram B) by Quadrangular le fort 2, then I would kinda disagree, one would rather go for the osteotomy instead of implants. In most cases it's beneficial to bring the paranasal area forward during the lf1 cut. Don't see a reason why you wouldn't go for it.

Here's some good ones (I think they're both HLF1)

View attachment 3799667View attachment 3799669

Yes, I made a mistake. B is an extended LeFort 1, not QLF2.

This is QLF2:

This is QLF1:

An extended LeFort 1 that includes the paranasal area isn't a bad idea and can better address recession of the lower maxilla.

Cutting much above that (QLF1/2) and the results are medicore and subpar from the frontal view.
I've personally seen people who've had it performed on them and it just didn't look right when the nasal cavity was left behind.

 

[Mainlander]

Giant + Celal (?) for lf2

If you mean
HLF1 (black and white diagram B) by Quadrangular le fort 2, then I would kinda disagree, one would rather go for the osteotomy instead of implants. In most cases it's beneficial to bring the paranasal area forward during the lf1 cut. Don't see a reason why you wouldn't go for it.

Here's some good ones (I think they're both HLF1)

View attachment 3799667View attachment 3799669

Damn its actually insane how hard your nose ascends or lefort/bimax

Its like a rhino on top

 

[smallgromp123]

Damn its actually insane how hard your nose ascends or lefort/bimax

Its like a rhino on top

ikr, wonder what happens if your nose is already super straight, I know it will get upturned from HLF1, but what happens when you get a narrow cut LF2, does it just get bigger in all dimensions? Super interesting
Sucks to be needing a Lf2, all my facial features look more or less fine, I just lack the lf2 area, my nose did not grow at all, it's very small compared to the rest of my face. I think the narrow cut would be ideal for me.

Here's an example of a dude who got a lf2, I'm in a similar position, but it's nearly not as bad

"Geeked vs locked in" ahh result

 

[blinemaxxer]

hmmmm, my concern is that hlf1 not extending all the way to orbitals. would it somehow end up in step off cavities or so? by the way, are you sure those results are hlf1? i couldnt find those pics on their website. i assume ur aware of alfaros USO (u shaped osto), an approach to paranasal deficiencies only, isolated area. if one's looking to project that area specifically, and the root of their teeth wont interfere as giant also said, this procedure is also considerable imo. i think giant's working on this paranasal-only projection kind of cut, not sure if he came up with anything though.

 

[blinemaxxer]

Yes, I made a mistake. B is an extended LeFort 1, not QLF2.

This is QLF2:

This is QLF1:

View attachment 3800915

An extended LeFort 1 that includes the paranasal area isn't a bad idea and can better address recession of the lower maxilla.

Cutting much above that (QLF1/2) and the results are medicore and subpar from the frontal view.
I've personally seen people who've had it performed on them and it just didn't look right when the nasal cavity was left behind.

can a rhino fix this tho

 

[chrishell]

The surgery that will give you the most functional benefits is the surgery you are a candidate for: all other answers are incorrect. It's not like slapping a jaw surgery on someone in the abstract amounts to dragging their "function" slider up as if it's a mmorpg character creation.

 

[smallgromp123]

The surgery that will give you the most functional benefits is the surgery you are a candidate for: all other answers are incorrect. It's not like slapping a jaw surgery on someone in the abstract amounts to dragging their "function" slider up as if it's a mmorpg character creation.

Well consider that the X patient has 0 forward growth and judge based on that.